Item position effect (IPE) refers to situations where an item performs differently when it is administered in different positions on a test. The majority of previous research studies have focused on investigating IPE under linear testing. There is a lack of IPE research under adaptive testing. In addition, the existence of IPE might violate Item…

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…

In computerized adaptive testing, item exposure control methods are often used to provide a more balanced usage of the item pool. Many of the most popular methods, including the restricted method (Revuelta and Ponsoda), use a single maximum exposure rate to limit the proportion of times that each item is administered. However, Barrada et al.…

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…