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…

This study introduced dynamic multistage testing (dy-MST) as an improvement to existing adaptive testing methods. dy-MST combines the advantages of computerized adaptive testing (CAT) and computerized adaptive multistage testing (ca-MST) to create a highly efficient and regulated adaptive testing method. In the test construction phase, multistage…

Computerized-adaptive (CAT) and self-adapted (SAT) music listening tests were compared for efficiency, reliability, validity, and motivational benefits with 53 junior high school students. Results demonstrate trade-offs, with greater potential motivational benefits for SAT and greater efficiency for CAT. SAT elicited more favorable responses from…

Computer-based testing (CBT) is typically implemented using one of three general test delivery models: (1) multiple fixed testing (MFT); (2) computer-adaptive testing (CAT); or (3) multistage testing (MSTs). This article reviews some of the real cost drivers associated with CBT implementation--focusing on item production costs, the costs…