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Updated: Jul 23, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Design and validation of instruments to measure knowledge
T E Elliott1, R R Regal, B A Elliott
1Division of Education and Research, St. Mary's/Duluth Clinic Health System, MN 55805, USA.
Background:
Measuring health care providers' learning after they have participated in educational interventions that use experimental designs requires valid, reliable, and practical instruments.
Methods:
A literature review was conducted. In addition, experience gained from designing and validating instruments for measuring the effect of an educational intervention informed this process.
Results:
The eight main steps for designing, validating, and testing the reliability of instruments for measuring learning outcomes are presented. The key considerations and rationale for this process are discussed. Methods for critiquing and adapting existent instruments and creating new ones are offered.
Conclusions:
This study may help other investigators in developing valid, reliable, and practical instruments for measuring the outcomes of educational activities.
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