@article {320,
	title = {Considerations about expected a posteriori estimation in adaptive testing: adaptive a priori, adaptive correction for bias, and adaptive integration interval},
	journal = {Journal of Applied Measurement},
	volume = {10},
	number = {2},
	year = {2009},
	note = {Raiche, GillesBlais, Jean-GuyUnited StatesJournal of applied measurementJ Appl Meas. 2009;10(2):138-56.},
	pages = {138-56},
	edition = {2009/07/01},
	abstract = {In a computerized adaptive test, we would like to obtain an acceptable precision of the proficiency level estimate using an optimal number of items. Unfortunately, decreasing the number of items is accompanied by a certain degree of bias when the true proficiency level differs significantly from the a priori estimate. The authors suggest that it is possible to reduced the bias, and even the standard error of the estimate, by applying to each provisional estimation one or a combination of the following strategies: adaptive correction for bias proposed by Bock and Mislevy (1982), adaptive a priori estimate, and adaptive integration interval.},
	keywords = {*Bias (Epidemiology), *Computers, Data Interpretation, Statistical, Models, Statistical},
	isbn = {1529-7713 (Print)1529-7713 (Linking)},
	author = {Raiche, G. and Blais, J. G.}
}
@article {7,
	title = {Development and preliminary testing of a computerized adaptive assessment of chronic pain},
	journal = {Journal of Pain},
	volume = {10},
	number = {9},
	year = {2009},
	note = {Anatchkova, Milena DSaris-Baglama, Renee NKosinski, MarkBjorner, Jakob B1R43AR052251-01A1/AR/NIAMS NIH HHS/United StatesEvaluation StudiesResearch Support, N.I.H., ExtramuralUnited StatesThe journal of pain : official journal of the American Pain SocietyJ Pain. 2009 Sep;10(9):932-43.},
	month = {Sep},
	pages = {932-943},
	edition = {2009/07/15},
	abstract = {The aim of this article is to report the development and preliminary testing of a prototype computerized adaptive test of chronic pain (CHRONIC PAIN-CAT) conducted in 2 stages: (1) evaluation of various item selection and stopping rules through real data-simulated administrations of CHRONIC PAIN-CAT; (2) a feasibility study of the actual prototype CHRONIC PAIN-CAT assessment system conducted in a pilot sample. Item calibrations developed from a US general population sample (N = 782) were used to program a pain severity and impact item bank (kappa = 45), and real data simulations were conducted to determine a CAT stopping rule. The CHRONIC PAIN-CAT was programmed on a tablet PC using QualityMetric{\textquoteright}s Dynamic Health Assessment (DYHNA) software and administered to a clinical sample of pain sufferers (n = 100). The CAT was completed in significantly less time than the static (full item bank) assessment (P < .001). On average, 5.6 items were dynamically administered by CAT to achieve a precise score. Scores estimated from the 2 assessments were highly correlated (r = .89), and both assessments discriminated across pain severity levels (P < .001, RV = .95). Patients{\textquoteright} evaluations of the CHRONIC PAIN-CAT were favorable. PERSPECTIVE: This report demonstrates that the CHRONIC PAIN-CAT is feasible for administration in a clinic. The application has the potential to improve pain assessment and help clinicians manage chronic pain.},
	keywords = {*Computers, *Questionnaires, Activities of Daily Living, Adaptation, Psychological, Chronic Disease, Cohort Studies, Disability Evaluation, Female, Humans, Male, Middle Aged, Models, Psychological, Outcome Assessment (Health Care), Pain Measurement/*methods, Pain, Intractable/*diagnosis/psychology, Psychometrics, Quality of Life, User-Computer Interface},
	isbn = {1528-8447 (Electronic)1526-5900 (Linking)},
	author = {Anatchkova, M. D. and Saris-Baglama, R. N. and Kosinski, M. and Bjorner, J. B.}
}
@article {273,
	title = {Combining computer adaptive testing technology with cognitively diagnostic assessment},
	journal = {Behavioral Research Methods },
	volume = {40},
	number = {3},
	year = {2008},
	note = {McGlohen, MeghanChang, Hua-HuaUnited StatesBehavior research methodsBehav Res Methods. 2008 Aug;40(3):808-21.},
	month = {Aug},
	pages = {808-21},
	edition = {2008/08/14},
	abstract = {A major advantage of computerized adaptive testing (CAT) is that it allows the test to home in on an examinee{\textquoteright}s ability level in an interactive manner. The aim of the new area of cognitive diagnosis is to provide information about specific content areas in which an examinee needs help. The goal of this study was to combine the benefit of specific feedback from cognitively diagnostic assessment with the advantages of CAT. In this study, three approaches to combining these were investigated: (1) item selection based on the traditional ability level estimate (theta), (2) item selection based on the attribute mastery feedback provided by cognitively diagnostic assessment (alpha), and (3) item selection based on both the traditional ability level estimate (theta) and the attribute mastery feedback provided by cognitively diagnostic assessment (alpha). The results from these three approaches were compared for theta estimation accuracy, attribute mastery estimation accuracy, and item exposure control. The theta- and alpha-based condition outperformed the alpha-based condition regarding theta estimation, attribute mastery pattern estimation, and item exposure control. Both the theta-based condition and the theta- and alpha-based condition performed similarly with regard to theta estimation, attribute mastery estimation, and item exposure control, but the theta- and alpha-based condition has an additional advantage in that it uses the shadow test method, which allows the administrator to incorporate additional constraints in the item selection process, such as content balancing, item type constraints, and so forth, and also to select items on the basis of both the current theta and alpha estimates, which can be built on top of existing 3PL testing programs.},
	keywords = {*Cognition, *Computers, *Models, Statistical, *User-Computer Interface, Diagnosis, Computer-Assisted/*instrumentation, Humans},
	isbn = {1554-351X (Print)},
	author = {McGlohen, M. and Chang, Hua-Hua}
}
@article {95,
	title = {Strategies for controlling item exposure in computerized adaptive testing with the partial credit model},
	journal = {Journal of Applied Measurement},
	volume = {9},
	number = {1},
	year = {2008},
	note = {Davis, Laurie LaughlinDodd, Barbara GUnited StatesJournal of applied measurementJ Appl Meas. 2008;9(1):1-17.},
	pages = {1-17},
	edition = {2008/01/09},
	abstract = {Exposure control research with polytomous item pools has determined that randomization procedures can be very effective for controlling test security in computerized adaptive testing (CAT). The current study investigated the performance of four procedures for controlling item exposure in a CAT under the partial credit model. In addition to a no exposure control baseline condition, the Kingsbury-Zara, modified-within-.10-logits, Sympson-Hetter, and conditional Sympson-Hetter procedures were implemented to control exposure rates. The Kingsbury-Zara and the modified-within-.10-logits procedures were implemented with 3 and 6 item candidate conditions. The results show that the Kingsbury-Zara and modified-within-.10-logits procedures with 6 item candidates performed as well as the conditional Sympson-Hetter in terms of exposure rates, overlap rates, and pool utilization. These two procedures are strongly recommended for use with partial credit CATs due to their simplicity and strength of their results.},
	keywords = {*Algorithms, *Computers, *Educational Measurement/statistics \& numerical data, Humans, Questionnaires/*standards, United States},
	isbn = {1529-7713 (Print)1529-7713 (Linking)},
	author = {Davis, L. L. and Dodd, B. G.}
}
@article {352,
	title = {Computerized adaptive testing of diabetes impact: a feasibility study of Hispanics and non-Hispanics in an active clinic population},
	journal = {Quality of Life Research},
	volume = {15},
	number = {9},
	year = {2006},
	note = {Schwartz, CarolynWelch, GarrySantiago-Kelley, PaulaBode, RitaSun, Xiaowu1 r43 dk066874-01/dk/niddkResearch Support, N.I.H., ExtramuralNetherlandsQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitationQual Life Res. 2006 Nov;15(9):1503-18. Epub 2006 Sep 26.},
	month = {Nov},
	pages = {1503-18},
	edition = {2006/10/13},
	abstract = {BACKGROUND: Diabetes is a leading cause of death and disability in the US and is twice as common among Hispanic Americans as non-Hispanics. The societal costs of diabetes provide an impetus for developing tools that can improve patient care and delay or prevent diabetes complications. METHODS: We implemented a feasibility study of a Computerized Adaptive Test (CAT) to measure diabetes impact using a sample of 103 English- and 97 Spanish-speaking patients (mean age = 56.5, 66.5\% female) in a community medical center with a high proportion of minority patients (28\% African-American). The 37 items of the Diabetes Impact Survey were translated using forward-backward translation and cognitive debriefing. Participants were randomized to receive either the full-length tool or the Diabetes-CAT first, in the patient{\textquoteright}s native language. RESULTS: The number of items and the amount of time to complete the survey for the CAT was reduced to one-sixth the amount for the full-length tool in both languages, across disease severity. Confirmatory Factor Analysis confirmed that the Diabetes Impact Survey is unidimensional. The Diabetes-CAT demonstrated acceptable internal consistency reliability, construct validity, and discriminant validity in the overall sample, although subgroup analyses suggested that the English sample data evidenced higher levels of reliability and validity than the Spanish sample and issues with discriminant validity in the Spanish sample. Differential Item Function analysis revealed differences in responses tendencies by language group in 3 of the 37 items. Participant interviews suggested that the Spanish-speaking patients generally preferred the paper survey to the computer-assisted tool, and were twice as likely to experience difficulties understanding the items. CONCLUSIONS: While the Diabetes-CAT demonstrated clear advantages in reducing respondent burden as compared to the full-length tool, simplifying the item bank will be necessary for enhancing the feasibility of the Diabetes-CAT for use with low literacy patients.},
	keywords = {*Computers, *Hispanic Americans, *Quality of Life, Adult, Aged, Data Collection/*methods, Diabetes Mellitus/*psychology, Feasibility Studies, Female, Humans, Language, Male, Middle Aged},
	isbn = {0962-9343 (Print)},
	author = {Schwartz, C. and Welch, G. and Santiago-Kelley, P. and Bode, R. and Sun, X.}
}
@article {96,
	title = {An examination of exposure control and content balancing restrictions on item selection in CATs using the partial credit model},
	journal = {Journal of Applied Measurement},
	volume = {4},
	number = {1},
	year = {2003},
	note = {1529-7713Journal Article},
	pages = {24-42},
	abstract = {The purpose of the present investigation was to systematically examine the effectiveness of the Sympson-Hetter technique and rotated content balancing relative to no exposure control and no content rotation conditions in a computerized adaptive testing system (CAT) based on the partial credit model. A series of simulated fixed and variable length CATs were run using two data sets generated to multiple content areas for three sizes of item pools. The 2 (exposure control) X 2 (content rotation) X 2 (test length) X 3 (item pool size) X 2 (data sets) yielded a total of 48 conditions. Results show that while both procedures can be used with no deleterious effect on measurement precision, the gains in exposure control, pool utilization, and item overlap appear quite modest. Difficulties involved with setting the exposure control parameters in small item pools make questionable the utility of the Sympson-Hetter technique with similar item pools.},
	keywords = {*Computers, *Educational Measurement, *Models, Theoretical, Automation, Decision Making, Humans, Reproducibility of Results},
	author = {Davis, L. L. and Pastor, D. A. and Dodd, B. G. and Chiang, C. and Fitzpatrick, S. J.}
}
@article {217,
	title = {Moving in a new direction: Computerized adaptive testing (CAT)},
	journal = {Nursing Management},
	volume = {24},
	number = {1},
	year = {1993},
	note = {Jones-Dickson, CDorsey, DCampbell-Warnock, JFields, FUnited statesNursing managementNurs Manage. 1993 Jan;24(1):80, 82.},
	month = {Jan},
	pages = {80, 82},
	edition = {1993/01/01},
	keywords = {*Computers, Accreditation/methods, Educational Measurement/*methods, Licensure, Nursing, United States},
	isbn = {0744-6314 (Print)},
	author = {Jones-Dickson, C. and Dorsey, D. and Campbell-Warnock, J. and Fields, F.}
}
@article {37,
	title = {Future directions for the National Council: the Computerized Adaptive Testing Project},
	journal = {Issues},
	volume = {11},
	number = {4},
	year = {1990},
	note = {911613080885-0046Journal Article},
	pages = {1, 3, 5},
	keywords = {*Computers, *Licensure, Educational Measurement/*methods, Societies, Nursing, United States},
	author = {Bouchard, J.}
}
@article {190,
	title = {National Council Computerized Adaptive Testing Project Review--committee perspective},
	journal = {Issues},
	volume = {11},
	number = {4},
	year = {1990},
	note = {911613110885-0046Journal Article},
	pages = {3},
	keywords = {*Computers, *Licensure, Educational Measurement/*methods, Feasibility Studies, Societies, Nursing, United States},
	author = {Haynes, B.}
}
