Manufacturing The test is done on the proportion metric, and tests that a variable
p is equal to one of two desired points,
p1 or
p2. The region between these two points is known as the
indifference region (IR). For example, suppose you are performing a quality control study on a factory lot of widgets. Management would like the lot to have 3% or less defective widgets, but 1% or less is the ideal lot that would pass with flying colors. In this example,
p1 = 0.01 and
p2 = 0.03 and the region between them is the IR because management considers these lots to be marginal and is OK with them being classified either way. Widgets would be sampled one at a time from the lot (sequential analysis) until the test determines, within an acceptable error level, that the lot is ideal or should be rejected.
Testing of human examinees The SPRT is currently the predominant method of classifying examinees in a variable-length
computerized classification test (CCT). The two parameters are
p1 and
p2 are specified by determining a cutscore (threshold) for examinees on the proportion correct metric, and selecting a point above and below that cutscore. For instance, suppose the cutscore is set at 70% for a test. We could select
p1 = 0.65 and
p2 = 0.75 . The test then evaluates the likelihood that an examinee's true score on that metric is equal to one of those two points. If the examinee is determined to be at 75%, they pass, and they fail if they are determined to be at 65%. These points are not specified completely arbitrarily. A cutscore should always be set with a legally defensible method, such as a
modified Angoff procedure. Again, the indifference region represents the region of scores that the test designer is OK with going either way (pass or fail). The upper parameter
p2 is conceptually the highest level that the test designer is willing to accept for a Fail (because everyone below it has a good chance of failing), and the lower parameter
p1 is the lowest level that the test designer is willing to accept for a pass (because everyone above it has a decent chance of passing). While this definition may seem to be a relatively small burden, consider the
high-stakes case of a licensing test for medical doctors: at just what point should we consider somebody to be at one of these two levels? While the SPRT was first applied to testing in the days of
classical test theory, as is applied in the previous paragraph, Reckase (1983) suggested that
item response theory be used to determine the
p1 and
p2 parameters. The cutscore and indifference region are defined on the latent ability (theta) metric, and translated onto the proportion metric for computation. Research on CCT since then has applied this methodology for several reasons: • Large item banks tend to be calibrated with IRT • This allows more accurate specification of the parameters • By using the item response function for each item, the parameters are easily allowed to vary between items.
Detection of anomalous medical outcomes Spiegelhalter et al. have shown that SPRT can be used to monitor the performance of doctors, surgeons and other medical practitioners in such a way as to give early warning of potentially anomalous results. They showed how it could have helped identify
Harold Shipman as a murderer well before he was actually identified. ==Extensions==