Computer adaptive testing (CAT) is an increasingly common mode of test administration offering improved test security, better measurement precision, and the potential for shorter testing experiences. This article presents a new item selection algorithm based on a generalized objective function to support multiple types of testing conditions and…

Administration of patient-reported outcome measures (PROs), using multidimensional computer adaptive tests (MCATs) has the potential to reduce patient burden, but the efficiency of MCAT depends on the degree to which an individual's responses fit the psychometric properties of the assessment. Assessing patients' symptom burden through the…

With the exponential increase of digital assessment, different types of data in addition to item responses become available in the measurement process. One of the salient features in digital assessment is that process data can be easily collected. This non-conventional structured or unstructured data source may bring new perspectives to better…