To date, exposure control procedures that are designed to control test overlap in computerized adaptive tests (CATs) are based on the assumption of item sharing between pairs of examinees. However, in practice, examinees may obtain test information from more than one previous test taker. This larger scope of information sharing needs to be…

This simulation study sought to compare four different computerized adaptive testing (CAT) content-balancing procedures designed for use in a multidimensional assessment with respect to measurement precision, symptom severity classification, validity of clinical diagnostic recommendations, and sensitivity to atypical responding. The four…