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I'll add one more complication. I've been using a student
response system for four years now and I'm still learning how
to use it effectively. So, one would also need to consider
the preparation of the instructor.
In my own study (which uses a simple pre/post test), it
doesn't seem to have improved learning the first two years I
tried it. It is only after I learned which questions to ask,
how to get students to utilize the information for
self-assessment, and how to use it myself to change
instruction "mid-stream" that I think it has become an effective tool.