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…

Multistage testing (MST), an adaptive test delivery mode that involves algorithmic selection of predefined item modules rather than individual items, offers a practical alternative to linear and fully computerized adaptive testing. However, interactions across stages between item modules and examinee groups can lead to challenges in item…

Diagnostic classification models (DCMs) can provide multidimensional diagnostic feedback about students' mastery levels of knowledge components or attributes. One advantage of using DCMs is the ability to accurately and reliably classify students into mastery levels with a relatively small number of items per attribute. Combining DCMs with…