Literature DB >> 31923227

Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory.

Miguel A Sorrel1, Juan R Barrada2, Jimmy de la Torre3, Francisco José Abad1.   

Abstract

Currently, there are two predominant approaches in adaptive testing. One, referred to as cognitive diagnosis computerized adaptive testing (CD-CAT), is based on cognitive diagnosis models, and the other, the traditional CAT, is based on item response theory. The present study evaluates the performance of two item selection rules (ISRs) originally developed in the CD-CAT framework, the double Kullback-Leibler information (DKL) and the generalized deterministic inputs, noisy "and" gate model discrimination index (GDI), in the context of traditional CAT. The accuracy and test security associated with these two ISRs are compared to those of the point Fisher information and weighted KL using a simulation study. The impact of the trait level estimation method is also investigated. The results show that the new ISRs, particularly DKL, could be used to improve the accuracy of CAT. Better accuracy for DKL is achieved at the expense of higher item overlap rate. Differences among the item selection rules become smaller as the test gets longer. The two CD-CAT ISRs select different types of items: items with the highest possible a parameter with DKL, and items with the lowest possible c parameter with GDI. Regarding the trait level estimator, expected a posteriori method is generally better in the first stages of the CAT, and converges with the maximum likelihood method when a medium to large number of items are involved. The use of DKL can be recommended in low-stakes settings where test security is less of a concern.

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Year:  2020        PMID: 31923227      PMCID: PMC6953845          DOI: 10.1371/journal.pone.0227196

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


Introduction

Computerized adaptive testing (CAT) is one of the applications of the item response theory (IRT) that has received greatest attention in the recent and past literature (e.g., [1-3]). A CAT consists of a specifically tailored set of items in which each of the items is selected to be administered on the basis of the responses of the examinee to the previously administered items. Thus, each examinee may have a different set of items, those that are most informative with respect to their ability estimates. The main advantages of CAT include a reduction in testing time, an improvement in the accuracy with the same number of items compared to a fixed test, and an increase in test security. Early CAT applications were based on unidimensional-IRT models for dichotomous data. As a result of the evolution of the psychometric theory, the emergence of new models has been made possible the application of CATs with different response formats (e.g., polytomous, continuous, forced-choice), and tests assessing more than one dimension using multidimensional-IRT and bi-factor modelling. This has enabled the development of CATs based on these models. Thus, we have, for example, the Tailored Adaptive Personality Assessment System [4], a multidimensional forced-choice CAT for evaluating the Big Five personality traits and some of their facets. Another example is the CAT Depression Inventory [5] which is based on the bi-factor model. What all the above-mentioned developments have in common is that the underlying latent traits are assumed to be continuous. Nonetheless, adaptive methodologies have been recently applied to a new psychometric framework: the cognitive diagnosis modeling (CDM) framework. This new set of models emerged with the purpose of diagnostically classifying the examinees into a predetermined set of discrete latent traits, typically denoted as attributes. Attributes are discrete in nature rather than continuous, with usually only two levels indicating if the examinees mastered or did not master each specific attribute. CDM is a very active area of research (e.g., [6,7]). Some of the latest developments are in the area of cognitive diagnostic CAT (CD-CAT). However, compared to the large amount of research in the traditional IRT context, to date only a small number of research has been conducted in the context of CD-CAT (e.g., [8-12]). The Fisher information statistic is the most widely used method for item selection in traditional CAT [13]. This method requires continuous ability levels. Because attributes in CDM are discrete, Fisher information cannot be used in a CD-CAT setting. Fortunately, there exist alternative methods that can deal with that. One of these methods is the Kullback–Leibler (KL) information. Different modifications of KL item selection rule (ISR) have been proven to be useful in the CD-CAT context (e.g., [10]). Furthermore, new ISRs such as the global-discrimination index (GDI; [10]) have been developed. The present study uses Monte Carlo methods to evaluate the performance of these rules generated in the CD-CAT within the traditional IRT framework. The remainder of the manuscript is organized as follows. First is a review of the ISRs that are used in the present study. This is followed by a presentation of the simulation study designed to illustrate the performance of these ISR. Finally, the results of the simulation study are discussed, and several research limitations and possible future directions are provided.

Item selection rules

Point Fisher Information

Several ISRs have been proposed in the traditional IRT framework. Among them, point Fisher Information (PFI) is the most popular one. This method consists in maximizing Fisher information at the current estimate of the latent trait level (i.e., ; [14]). Specifically, where is the Fisher information of item i for and Bq defines the subset of items that have not yet been presented at the qth step of the CAT process [15]. Some additional restrictions may be imposed to Bq, such as item exposure or content controls. The Fisher information function of the three-parameter logistic model is computed as Item information functions are additive and typically combined into the test information function. As the CAT progresses toward, the test information is updated. Let I denote the information accumulated at the qth step of the CAT process. This information is computed as: where n is the item bank size, and x indicates whether or not the item has been administered. Importantly, Fisher information and measurement error are inversely related. Specifically, the measurement error of θ is asymptotically equal to I(θ)1/2 [16]. Previous research has pointed out some limitations of this ISR (e.g., [17,18]). Regarding the accuracy of the trait level estimates, this ISR relies on a punctual estimation of the trait level (i.e., ) to select the next item, it suffers from the problem of possible multiple maxima, and it focuses on differentiating between close trait levels [17]. It should be noted that even though the implications of these limitations decrease as the number of items administered increases, one of the reasons for using a CAT administration is to obtain accurate results in the shortest possible time. This being so, different alternatives to PFI have been proposed, including the KL information [19]. This ISR is a global measure that will be one of the focuses of this paper, and is described in the next section.

Global measures as alternatives

PFI consists of selecting the next item so that the Fisher information at is maximized, where q is the current step of the CAT. Thus, the appropriateness of this ISR depends on how close is to the true latent trait level, denoted by θ. However, at the early stages of the CAT the deviation of from θ may well be large due to the lack of information available. Fisher information is the discrimination power between two close θ values [19]. This implies two limitations for PFI. First, that the discrimination power between distant θ values is not considered. Second, that the selection rule implicitly assumes that the deviation of from θ is small. KL, as a global measure of information, on the contrary, considers the information content in the item with respect to a broad range of latent trait levels, addressing the first limitation. Considering that probably θ is not uniformly distributed, the KL selection rule is typically weighted by the likelihood function or the posterior distribution. Thus, the next item to be selected is determined as where W(θ) is equal to the likelihood function, L(θ), when maximum-likelihood estimation is used. In the case of Bayesian estimation, the weighting function is defined as: where f0(θ) denotes the prior distribution of θ. In Eq 4, is calculated as follows: where P(θ) is the probability of success on item i for θ. The solution to these integrals is approximated using quadrature points. It should be noted that KL performance is still dependent on the proximity between the estimated trait level and the true trait level.

New item selection rules for IRT-CAT

As mentioned earlier, the impossibility of using Fisher information in the CD-CAT framework has led to the development of alternative ISRs. These new ISRs include two modifications of the KL method, namely hybrid KL and posterior weighted KL (PWKL) [8]. Recently, Kaplan et al. [10] introduced other two new ISRs. One of them was an improved version of PWKL (MPWKL), and the other one was the generalized deterministic inputs, noisy "and" gate (G-DINA) model discrimination index (also referred to as global-discrimination index [GDI]). MPWKL and GDI were both preferable to PWKL, and yielded highly similar accuracy rates to one another. In the following we describe these two ISRs, adapting the formulation to that of the traditional IRT framework.

Double KL

A similar ISR to PWKL was introduced by Chang and Ying [19] in the IRT context, computed as a KL index weighted by the posterior distribution. PWKL (KL hereafter) uses only one integral, whereas Kaplan et al.’s [10] MPWKL (DKL hereafter) uses two integrals. This idea of using two integrals was already briefly mentioned in the discussion of Chang and Ying’ study (see Equation 29), but they considered KL within an interval around instead of KL weighted by posterior. This ISR, which we will call double KL within intervals (DKLI) was defined as: where η and δ determine the amplitude of the interval around . This amplitude decreases with each new administered item, as the uncertainty about the estimated trait level is supposed to be reduced as the test advances. In the ISR that is proposed in this article–DKL–the next item to be selected is given by DKLI differs in three relevant points with respect to DKL. First, DKLI still needs the computation of an estimated trait level after each new administered item (i.e., ). By contrast, in DKL does not uses the estimated trait level for item selection. Second, in DKLI all the computed KL values are equally weighted. With Bayesian KL or KL weighted by likelihood (Eq 4) or with DKL, KL values are weighted by the best available evidence, that is, likelihood function or posterior distribution. Third, DKLI does not consider the potentially relevant information that is outside the interval. With Bayesian KL and KL weighted by likelihood, all the possible pairs of values with respect to the estimated trait level are considered. For DKL, all the possible pairs of values are considered. Previous studies have shown that KL weighted by likelihood reduced measurement error when compared with KL based on (a single) interval [17]. We considered that these were solid reasons for not including DKLI in this study. The main advantage of this DKL is that it does not use the estimated latent trait at all. This is a convenient characteristic considering that this estimate can be very noisy in the early stages of the CAT. The best way of dealing with this undesirable fact is to use an ISR that does not use those noisy estimates.

G-DINA model discrimination index

Kaplan et al. [10] also proposed GDI as an alternative ISR in the context of CD-CAT. The GDI is a discrimination index that was proposed by de la Torre and Chiu [20] as the basis for empirical Q-matrix validation. This index measures the weighted variance of the probability of success of an item given a particular latent trait distribution. The next item to be selected by the adaptive algorithm is the one with the highest GDI: It can be noted from this equation that the estimated trait level is either used with this method.

Examples with some fictitious items

Figs 1 and 2 illustrate DKL and GDI, respectively, for two fictitious items at different stages of the CAT. KL measures the discrepancy between two probability distributions. The size of KL will be larger the more different the response distributions associated to the two levels θ that are being compared. This can be observed in Fig 1. Item B has a much higher a parameter and this is indicated by a higher peak at [θ1 = –4, θ2 = 4] compared to the representation of item A. For the same levels of a parameter, the effect of c would be also reflected on this height. The height of the peak is important because DKL is computed as the sum of all the depicted values weighted by the likelihood function or posterior distribution. As the CAT progresses, some of the trait levels will be more plausible and the area determining the size of DKL will be smaller. In the example depicted, at item position 3 items A and B have a DKL associated of 0.68 and 0.71, respectively. The item with the highest a parameter (i.e., item B) is preferred. At item position 21, items A and B have a DKL associated of 0.18 and 0.25, respectively. Again, item B is preferred. Compared to DKL, KL will only compare one specific trait level (i.e., ) with all the other possible values (i.e., θ = [−4,4] in this example). This would be computed in Fig 1 considering all the KL values that are defined by .
Fig 1

DKL for two fictitious items.

Both items share the same b parameter (bA = bB = 0), but differ in their discrimination (aA = 1; aB = 2) and pseudo-guessing (cA = 0; cB = 0.30) parameters. Two item positions are illustrated: Item position 3 and 21. At item position 3, the examinee has one correct and one incorrect response. At item position 21, the examinee has ten correct and ten incorrect responses. The color gradient represents the weight to be applied to the KL and DKL computation based on the examinee’s likelihood function. θ is represented as z.

Fig 2

GDI for two fictitious items.

Both items share the same b parameter (bA = bB = 0), but differ in their discrimination (aA = 1; aB = 2) and pseudo-guessing (cA = 0; cB = 0.30) parameters. Two item positions are illustrated: Item position 3 and 21. At item position 3, the examinee has one correct and one incorrect response. At item position 21, the examinee has ten correct and ten incorrect responses. The color gradient represents the weight to be applied to the GDI computation based on the examinee’s likelihood function. θ is represented as z.

DKL for two fictitious items.

Both items share the same b parameter (bA = bB = 0), but differ in their discrimination (aA = 1; aB = 2) and pseudo-guessing (cA = 0; cB = 0.30) parameters. Two item positions are illustrated: Item position 3 and 21. At item position 3, the examinee has one correct and one incorrect response. At item position 21, the examinee has ten correct and ten incorrect responses. The color gradient represents the weight to be applied to the KL and DKL computation based on the examinee’s likelihood function. θ is represented as z.

GDI for two fictitious items.

Both items share the same b parameter (bA = bB = 0), but differ in their discrimination (aA = 1; aB = 2) and pseudo-guessing (cA = 0; cB = 0.30) parameters. Two item positions are illustrated: Item position 3 and 21. At item position 3, the examinee has one correct and one incorrect response. At item position 21, the examinee has ten correct and ten incorrect responses. The color gradient represents the weight to be applied to the GDI computation based on the examinee’s likelihood function. θ is represented as z. GDI is illustrated in Fig 2. This index is computed as the weighted variance of the probability of success. We can note from Fig 2 that this index might be more affected by the c parameter given that it defines the lower asymptote of the item response function thus determining the range of values. The range of values is indeed a common measure of variance. In this example, the items selected according to GDI at item position 3 and 21 differ. At item position 3, items A and B have associated GDI values of 0.112 and 0.084, respectively. Thus, the item with the lowest c parameter is preferred even though it has a much smaller a parameter. On the contrary, at item position 21 item B would be preferred because it has a greater GDI value associated (0.044) compared to item A (0.037). The reason for this is that the weighting function that was used in the example was centered at θ = 0. Thus, the large difference in a parameter made this item more preferable at a late stage of the CAT.

Trait level estimation

The estimation of the latent trait level is generally based on observed response pattern. The basic idea underlying the estimation procedures is finding the trait level that maximizes the probability of the observed pattern of responses. This is the most basic and often used estimation procedure, referred to as maximum likelihood (ML) estimation. The likelihood function is obtained as indicated in: where for every examinee’s response g = 0 or 1 (0 denotes an incorrect response and 1 denotes a correct response). Alternatively, some Bayesian methods [21,22] have been proposed. These methods combine the evidence contained in the response patterns with prior knowledge of the probability distribution of the latent trait in the population of respondents. Wang and Vispoel [23] compared some of these estimation methods in a simulation study using CATs, and found that the expected a posteriori (EAP) method was the best performing method among the Bayesian methods. This previous study explored differences in terms of bias, standard error (SE), and root mean squared error (RMSE). According to their results, ML provided lower bias for a moderate discrimination item bank, but a higher standard error and RMSE. Overall, ML and EAP differences in terms of bias were generally smaller when the item bank discrimination was high. With less than 30 items administered, EAP led to a lower bias in this condition. In selecting the items, Wang and Vispoel used PFI as ISR. The prior study by van der Linden [24] also suggested that Bayesian item selection criteria might be superior to PFI with ML estimation of the trait level. However, it remains unknown if these differences generalize across different ISRs. Besides, it would be worth exploring differences in other dependent variables such as test overlap and features of the items administered in order to gain a better understanding of these trait level estimators. The overlap rate has been used as an indicator of item bank security. It is an estimate of the proportion of administered items that are shared by two examinees [25].

Goal of the present study

The goal of the present study is twofold. The first goal of the study is to evaluate how the two ISRs originally proposed within the CD-CAT framework (i.e., DKL and GDI) perform in the traditional CAT framework. For comparison purposes, the two most commonly used rules in the IRT context (i.e., PFI and KL) are also considered. These ISRs are compared in terms of accuracy and security, and the pattern of items selected with each ISR is explored. The application of CDMs to adaptive testing is a relatively new area of research which has been aided by the experiences in the traditional IRT context. This study is pioneering in the sense that this is probably one of the first times that CDM methodologies are being exported to the traditional IRT context. The second goal is to explore the effect of the trait level estimation method on the performance of the CATs. This research extent previous research (e.g., [23,24]) by incorporating different ISRs and dependent variables. We expected (a) DKL and GDI to outperform the other ISRs because these new proposals do not use the estimated trait level for item selection, and (b) that these differences will be smaller for longer test cases [17,26].

Method

We used a code written in Pascal to conduct CAT simulations under different conditions in order to compare the ISRs. In Eqs 4 and 8 and 9 and for the trait level estimators, integrals were approximated using 81 quadrature points. The number of quadrature points was set to be large enough to provide accurate results, not to be computationally efficient. The following are details of the simulation study. The weighting function W(θ) was equal to the likelihood function when ML estimation was used, and equal to the posterior distribution when EAP was used. The prior distribution of θ (i.e., f0(θ)) was set to U[–4, 4]. As the prior was uniform, there were, in fact, no differences between W(θ) by latent trait estimator. The open database and code files are available at the Open Science Framework repository (https://osf.io/kagxy/).

Item banks and test length

Ten item banks were constructed, each of them containing 500 items. Item parameters were generated randomly from the following distributions: for a ~ N(1.20, 0.25), b ~ N(0, 1), and c ~ N(.25, .02). The maximum number of items to be administered to each examinee was set to 20.

Trait level of the simulees

We were interested in obtaining the results for the overall population and conditional on several different θ values. For overall results, 5,000 values were generated from a standard normal distribution. This process was repeated for each of ten item banks. For conditional results, we used nine trait level values, ranging from –2 to 2 in steps of 0.5, with 1,000 examinees per trait level and item bank. The total number of examinees used in this study was 10 × (5,000 + 9,000) = 140,000.

Starting rule

The starting was sampled at random from the interval (–0.5, 0.5). The likelihood function that is used in all the ISRs but PFI requires a response pattern. In order to apply these ISRs with effect from the very first item two fictitious items were used. This strategy, used for example in Barrada et al.[17], consists in considering one correct and one incorrect response to two items with the same characteristics (a = 0.5, b = , and c = 0). These two responses are only used in this step of the CAT process, but it is important to consider this when interpreting the results for the first items.

Trait estimation

We compared ML estimation and EAP estimation. Dodd’s [27] approach for dealing with constant patterns in ML was applied until the examinee obtained correct and incorrect responses. This approach consists of increasing by (bmax − )/2 when all the responses are correct; and decreasing by ( – bmin)/2 when all the responses are incorrect. The parameters bmax and bmin correspond to the maximum and minimum b parameter in the item bank, respectively. This needs to be also considered when interpreting the results for the first items. With EAP estimation a uniform prior over [–4, 4] was used (e.g., [28-30]). For both estimators was estimated within the interval [–4, 4].

Performance measures

Six dependent variables were used to evaluate the performance of the ISRs. Results were computed for each one of the ten different item banks and averaged across them to obtain more stable results. To evaluate measurement accuracy, bias and RMSE were considered: where m is the number of examinees, is the estimated trait level for the h-th examinee and θ is the real trait level. The overlap rate was computed as indicator of test security [31]: where is the variance of the exposure rates of the items. We also computed the mean values of the a and c parameters of the administered items in order to describe the characteristics of items selected by each ISR. The correlations between the item exposure rates were also computed. This is an indicative of the convergence among the ISRs. Finally, the time required to select a single item for each ISR was recorded.

Results

In the following we describe the results for the average estimates of the dependent variables across the ten item banks. The variability across the item banks was generally small and always negligible when the CAT length was equal or greater than four and/or the trait level estimator was EAP. Thus, although presented here, it is important to note that the results at the very start of the CAT (1–3 items) should be interpreted with caution. The reason is that the ISRs might be affected differently by some specific characteristics of the CAT algorithm at the beginning of the test (e.g., Dodd’s method, the use of two fictitious items in the likelihood computation for the first item). Fig 3 summarizes the RMSE and overlap rate results conditional on the number of items presented. We can see from the figure that, logically, as the number of items presented was increased, RMSE decreased. This became less noticeable as the CAT progressed. There were only slight differences between ML and EAP regarding RMSE. For example, for a 10-item CAT, RMSE mean values across the four ISRs were 0.469 and 0.449 for ML and EAP, respectively. Specifically, when the ML estimator was employed, it was observed that after the administration of five items, KL, DKL, and GDI were consistently better than PFI. The performance of all ISRs was more similar when the EAP estimation method was used. In this condition, DKL was generally the best performing method and PFI was not always the worse performing method. Overall, for both estimation methods, DKL was better than GDI, and they both were generally better than KL and PFI.
Fig 3

RMSE and overlap rate according to item selection rule, item position, and trait level estimator.

RMSE for DKL was smaller than 0.50 for CAT lengths of nine items for both ML and EAP estimators. The results for this specific test length are detailed in the following to illustrate the overall description provided above. When the ML/EAP estimator was employed, RMSE values for a 9-item CAT were 0.568/0.484 (PFI), 0.492/0.493 (KL), 0.463/0.469 (DKL), and 0.484/0.492 (GDI). For tests longer than 17 (EAP estimator) and 20 (ML estimator) items, there appeared to be no differences among the ISRs. Regarding the overlap rate results, it was observed that PFI showed the best test security, with an overlap rate always smaller than .40, and did not dramatically change as the CAT progressed. When the EAP estimator was used, the overlap rate for PFI was slightly higher. All the rules alternative to PFI showed an overlap rate higher than that obtained with PFI. At the beginning of the CAT, DKL showed the highest overlap rate, followed by GDI, but the differences between the ISR became smaller as the number of items administered increased. As we have already described, the differences in RMSE were minimal, although they could be still detected for DKL with a test length of 20 items. In comparison, the differences in overlap rate were larger. Better accuracy was achieved with a cost in overlap. It is important to remark that for CATs longer than 13 items, all the ISRs had overlap rates lower than .40. As a mean to better understand the overall accuracy results, the conditional results for bias and RMSE are shown in Table 1. Results for a for a 10-item CAT are described in the following. Overall, DKL performed the best and PFI performed the worse in terms of bias. KL generally had a good performance when the ML estimator was employed. However, it got even worse than PFI when the EAP estimator was used. The pattern of results for RMSE was similar to that of the bias. DKL performed the best overall. This was particularly noticeable for low trait levels. The bias and RMSE decreased as the number of items increased. As can be seen in the table, bias values were generally close to 0, and RMSE was always smaller than 0.45 when the CAT ended (i.e., 20 items). The differences among the methods became less noticeable, but generally indicated gains in accuracy for the DKL and GDI as indicated by the overall average of the absolute values.
Table 1

Conditional Bias and RMSE According to Item Selection Rule and Trait Level Estimator for a 10-item and 20-item CAT.

  θ 
10 items  Bias 
ISR-2-1.5-1-0.500.511.52Row Mean*
ML EstimatorPFI0.180.140.080.080.080.080.060.040.050.0864
KL0.040.040.030.020.020.030.020.030.030.0300
DKL0.030.030.030.030.030.030.030.020.030.0297
GDI0.060.060.040.060.050.050.030.040.040.0489
EAP EstimatorPFI-0.06-0.06-0.05-0.04-0.04-0.02-0.03-0.020.010.0366
KL-0.06-0.06-0.07-0.07-0.06-0.04-0.04-0.030.010.0506
DKL-0.06-0.04-0.02-0.01-0.010.010.000.000.030.0224
GDI-0.06-0.05-0.04-0.04-0.04-0.03-0.02-0.030.010.0367
  RMSE
ISR-2-1.5-1-0.500.511.52Row Mean*
ML EstimatorPFI0.850.740.650.570.490.430.400.390.410.5484
KL0.560.500.480.440.440.420.410.410.410.4529
DKL0.490.450.440.420.420.420.420.430.440.4357
GDI0.570.530.470.450.430.420.400.410.430.4572
EAP EstimatorPFI0.540.490.450.460.440.430.430.440.470.4612
KL0.560.510.470.450.440.450.430.430.460.4677
DKL0.490.460.450.420.420.420.420.440.470.4449
GDI0.560.500.480.440.450.440.430.430.460.4653
20 itemsBias
ISR-2-1.5-1-0.500.511.52Row Mean*
ML EstimatorPFI0.030.040.020.020.030.030.030.020.030.0271
KL0.000.010.010.010.010.010.010.020.020.0136
DKL0.000.010.010.010.010.020.010.020.030.0126
GDI0.010.020.020.030.030.030.020.030.030.0235
EAP EstimatorPFI-0.07-0.04-0.02-0.01-0.010.010.000.010.030.0202
KL-0.08-0.04-0.03-0.01-0.010.000.000.010.030.0232
DKL-0.08-0.03-0.02-0.010.000.000.010.010.030.0206
GDI-0.07-0.03-0.02-0.01-0.010.000.000.000.020.0190
  RMSE
ISR-2-1.5-1-0.500.511.52Row Mean*
ML EstimatorPFI0.450.380.330.290.270.260.260.260.290.3091
KL0.340.300.280.260.260.260.260.270.280.2795
DKL0.330.290.270.260.260.260.270.280.290.2776
GDI0.350.310.280.270.270.270.270.270.290.2857
EAP EstimatorPFI0.370.310.280.270.260.260.260.280.310.2892
KL0.370.310.280.270.270.260.260.270.300.2892
DKL0.360.300.280.260.260.260.260.280.310.2856
GDI0.380.320.290.270.270.270.270.280.300.2948

Note. ISR: Item selection rule.

*: Row mean of absolute values. A grey gradient is used to facilitate the visualization of the data. Within each section of the table, grey cells indicate low bias or RMSE, whereas white cells indicate high bias or RMSE. Minimum values within each column are shown in bold.

Note. ISR: Item selection rule. *: Row mean of absolute values. A grey gradient is used to facilitate the visualization of the data. Within each section of the table, grey cells indicate low bias or RMSE, whereas white cells indicate high bias or RMSE. Minimum values within each column are shown in bold. Fig 4 shows the average a and c parameters of the presented items. At the beginning of the test, all ISRs tended to select items with the a parameter clearly above the mean of this parameter in the item bank (i.e., 1.2). Subsequently, and probably because highly discriminating items were exhausted, items with lower a parameters were progressively administered. Comparing the different ISRs indicates that at the beginning of the CAT, DKL used items with the highest a parameter, and GDI with the lowest a parameter. Differences among ISRs became negligible when the number of administered items was higher than five, with the exception of PFI when the ML estimator was used that was only similar to the others when more than ten items were administered. Regarding the c parameter, the ISRs tended to administer items with a value in this parameter below the mean of this parameter in the item bank (i.e., .25). The average in this parameter increased in later stages of the CAT process, probably because items with low c parameter were already exhausted. In comparison to PFI, the other ISRs selected items with a smaller c parameter at the beginning of the CAT. This tendency was much more pronounced for GDI. There were no differences in the performance of PFI, DKL, and GDI combined with the ML and EAP estimators. On the contrary, KL combined with the ML estimator used items with lower c parameter at the beginning of the CAT, compared to KL combined with the EAP estimator. Differences among ISRs became negligible when the number of administered items was higher than approximately ten.
Fig 4

Mean a and c parameters of the administered items according to item selection rule, item position, and trait level estimator.

Finally, Fig 5 depicts the correlations between the item exposure rates. The different ISRs selected different items at the beginning of the CAT, and became more similar as the CAT progressed. The ISR most differentiated from the others in its item selection patterns is GDI, especially at the early stages of the CAT. This result is congruent with what was shown in Fig 4. PFI and GDI were the ones more different from each other. GDI and DKL followed a clearly different path at the beginning of the CAT. KL and DKL were generally the ones more similar to each other. Nonetheless, it must be noted that the coincidence in the item selection patterns was generally high, even with ten items administered with mean correlations higher than .90 for both ML and EAP estimators. As can be seen from Fig 5, even for the two ISR with the most different pattern (i.e., GDI and PFI) the correlation between their item exposure rates was approximately .84 with ten items presented. There were only minor some differences regarding the trait level estimator. GDI was less similar to KL when the trait level estimator was EAP.
Fig 5

Correlation between the item exposure rates of the different item selection rules according to item position and trait level estimator.

The code was run on a computer with processor of 3.0 GHz. The average times, in milliseconds, for selecting each item were 0.3 ms/item for PFI, 11.2 ms/item for KL, 3.9 ms/item for GDI, and 219.4 ms/item for DKL. As the computation time is dependent among many computer characteristics, we also computed the ratio, relative to PFI: KL was 36.5 times slower, 12.6 slower for GDI, and 713.3 times slower for DKL.

Discussion

The present study aimed to examined the measurement accuracy and test security of two new ISRs, namely, DKL and GDI. These two algorithms were originally developed in the CDM context, where they were proven to be useful item selection methods [10]. We thus assessed the bias, RMSE, overlap rate, mean values of the a and c parameters administered, and the correlation between the item exposure rates. The previously best available implementation of KL and the gold standard in adaptive testing, that is, PFI, were included for comparison purposes. Both DKL and GDI were shown to be more accurate than the traditional ISRs, with DKL providing slightly better results. Interestingly, DKL and GDI obtained high levels of accuracy through different ways–at the beginning of the test, the GDI tended to use items with the smallest possible c parameters, whereas DKL, and KL and PFI, to a smaller degree, tended to use items with the highest possible a parameters. The dissimilarity in the item usage was evident in the small correlation between the item exposure rates of the two new methods. These results indicate that contingent on the ISR, item selection will depend on the c, not only on the a parameters, as it has been generally acknowledged [32]. In contrast to the results in the CDM context where differences between DKL and GDI were negligible [10], DKL generally provided higher accuracy, which was achieved at the expense of lower test security. Compared to the new ISRs, KL and PFI had lower overlap rates. Nonetheless, all the ISRs considered in this work had acceptable overlap rates for tests longer than ten items or so [25]. Based in the simulated conditions, ten items might be a good fixed-length test for balancing accuracy and test security. As expected, improvement in accuracy became less prominent as the number of administered items increased. Admittedly, the proposed ISRs, particularly DKL, were slower than PFI; however, the computation time per item was always markedly below a second so this differences may be deemed as trivial in any applied context. It should be noted that the simulation code was not written to optimize execution times. For example, DKL, with its double integration, used 81 × 81 = 6561 quadrature points. We expect that this number could be reduced with a negligible loss in accuracy. All things considered, the new ISRs can provide the same levels of accuracy with fewer items administered, which is of major importance in contexts like educational or medical testing, where testing time is always an issue. Along this line, patient-reported outcomes (PROs) are, and will be even more important in the future clinical world [33]. Reducing testing time in medical evaluation is of crucial importance. Accordingly, systems like PROMIS or CAT-5D-QOL were developed in response to the request for a more efficient testing environment [34,35]. Electronic PROs have been found to have some advantages over paper based PROs, including avoiding data entry errors and an immediate access to data, and have been successfully implemented in some applications (e.g., [36]). Regarding the educational context, the efficiency of adaptive testing can make regular classroom assessment less intrusive, thus more practicable, and will allow to teachers to devote more time to instruction [37]. DKL and GDI improvement’s in terms of accuracy was found to be higher at the beginning of the CAT, when only a few items have been administered. This is of practical importance because instruments in these contexts should ideally contain as few optimal items as possible. Importantly, these new methods are easy to implement, and GDI is already available in the catR package of R [38]. Another important contribution of the present study is that ML and EAP trait level estimation methods were systematically compared. We found that EAP was generally better in the first stages of the CAT, and provided the same results as ML when a medium to large number of items were administered. As in the study of Wang and Vispoel [23], we found that ML did not provide consistently a lower bias than EAP, but it generally provided a higher RMSE. On the other hand, we found that the trait level estimation method and the ISRs interacted. The different ISRs were more similar when the EAP estimator was employed. Consistent with previous research, we found that PFI and KL did not differ in terms of RMSE when the EAP estimator was used [26]. In contrast, we observed that KL consistently provided a lower RMSE compared to that of PFI when the ML estimator was used. This result is also in line with previous research [17,18]. To keep the scope of this study manageable, a few simplifications about factors affecting the CAT performance were made. These included focusing on the fixed CAT-length condition and the unconstrained CAT, where exposure control was not considered. There might be a trade-off between accuracy and security for the different ISRs that future studies should consider. As was found in previous studies comparing different ISRs (e.g., [17,18]), PFI was the rule with the greatest measurement error and the smallest overlap. At the other extreme was DKL, which showed a high overlap rate, but with a higher accuracy. This is possible due to the fact that PFI relies on the current trait level estimate, and try to find items with b parameters very close to that current estimate; in contrast, global measures do not rely on a single estimate. As exposure control becomes more necessary as the stakes get higher, future research should explore how item exposure control method can be implemented with DKL and GDI to improve test security without sacrificing much accuracy. Different studies have shown that it is possible to improve overlap rate with minimal impact on accuracy (e.g., [39,40]). A more thorough comparison of rules that differ in terms of RMSE and overlap rate at the same time require an extensive manipulation of the maximum exposure rates (e.g., [18]). Another possible way to reduce test overlap would be increasing item bank size. Automatic item generation has the potential to help in this respect [41]. In this study we used true item parameter values. In other words, we assumed that operational item parameters were estimated without any error. In practice, this would not be the case. Further research should explore the impact of calibration error with different ISRs [42-44]. This study focused on the ML and EAP estimators because of their popularity and availability (e.g., [38]). This study can be extended in the future by comparing different trait level estimators such as the essentially unbiased estimators proposed by Wang, Hanson, and Lau [45]. Finally, a natural direction would be to extend the benefits of the proposed ISRs to multidimensional CAT. There exists a prior work by Wang, Chang, and Boughton [46] where the authors extend the KL index to the multidimensional case. This can be, however, computationally expensive for DKL and GDI because such an extension would require integrating across multiple dimensions. 8 Aug 2019 PONE-D-19-15008 Exchanging Item Selection Rules from Cognitive Diagnosis Modeling to Traditional Item Response Theory in Computerized Adaptive Testing PLOS ONE Dear Dr. Barrada, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. I have received three reviews of your manuscript from experts in the field. As you can see, they see merit in your work but suggest several modifications. I will not reiterate the specific points given by the reviewers because they speak for themselves. However, I encourage you to address each of them carefully and submit a revised version of your manuscript. We would appreciate receiving your revised manuscript by Sep 22 2019 11:59PM. When you are ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. To enhance the reproducibility of your results, we recommend that if applicable you deposit your laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols Please include the following items when submitting your revised manuscript: A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). This letter should be uploaded as separate file and labeled 'Response to Reviewers'. A marked-up copy of your manuscript that highlights changes made to the original version. This file should be uploaded as separate file and labeled 'Revised Manuscript with Track Changes'. An unmarked version of your revised paper without tracked changes. 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Please provide an amended statement that declares *all* the funding or sources of support (whether external or internal to your organization) received during this study, as detailed online in our guide for authors at http://journals.plos.org/plosone/s/submit-now.  Please also include the statement “There was no additional external funding received for this study.” in your updated Funding Statement. Please include your amended Funding Statement within your cover letter. We will change the online submission form on your behalf. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Partly Reviewer #2: Yes Reviewer #3: Yes ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: Overall, I have concerns about the merit of the study—from both the practical and theoretical viewpoints. The authors advocate the use of the double Kullback-Leibler divergence (DKL) and the discrimination index (GDI) as item selection methods in computerized adaptive testing (CAT); however, the overall performances of these measures are somewhat worrisome and I’m not sure if they provide any benefits over the existing methods. Figure 3 shows that the four item selection methods performed very comparably when EAP estimator was applied in estimation of the trait parameters (and thus no clear benefit). When ML estimator was used, DKL performed outperformed marginally after the administration of four items and yet showed the worst performance in the beginning stage of CAT. The authors argued for DKL because simple KL-based item selection can be disturbed by unstable trait estimates (p. 6 linear 140-143). The DKL however seemed to show even more disturbing item selection in the early stage of CAT. The item overlap results also suggest that DKL and GDI tended to suffer from skewed item usage. Overall, it was unclear if the suggested procedures present clear advantages despite the poorer performance in item exposure control and heavier computational load. The manuscript may be revised by lightening the strong advocacy of DKL and GDI (with the proper explanation of their pros and cons) and by elaborating more on the situations where the suggested methods can lend better utility. Reviewer #2: This paper proposed two new item selection methods for IRT-based CAT from two CD-CAT-based algorithms one of which demonstrate excellent performance in measurement efficiency and item exposure rates. After careful reading of this manuscript, I recommend its publication in Plosone with some minor revision. The main problem is that the authors did not explain the similarity/difference in the double KL (DKL) and the existing Bayesian KL in IRT-CAT. It makes more sense to use the Bayesian KL as a baseline method rather than the KL method. Reviewer #3: This work evaluates the performance of two item selection rules that were originally proposed in the Cognitive Diagnosis (CD)-Computerized Adaptive Testing (CAT) framework, the double Kullback-Leibler information (DKL) and the generalized deterministic inputs, noisy “and” gate model discrimination index (GDI), in the setting of traditional CAT under the unidimensional Item Response Theory (IRT) model. The authors gave a very nice review of the existing works and performed a simulation study to compare the DKL and GDI with two existing methods in CAT. Both the measurement accuracy and test security were compared, and the simulation shows promising results of the two proposed approaches (DKL and GDI). This is an interesting study and it is well written. As pointed out by the authors, it is one of the first times that CDM methodologies are applied to the traditional IRT context. I have the following specific comments, which I hope would be helpful. 1. As the authors mentioned on Page 6, Chang and Ying also discussed the idea of using two integrals for KL considered in a range around \\hat\\theta. Would the authors comment on how this “locally” double-integral approach compares with the proposed globally integrals in DKL? 2. The evaluation of DKL involves with double integration. Would the authors comment on the computation cost for this method? 3. I noticed from the simulation results that for the DKL method, there seem to have an increment of MSE for the first two items in Figure 3. Is this due to simulation error or is there any other reason for such trend? 4. The performance of the DKL seems worse than KL for the first few items. Is there any intuition why this would happen? Related to this question, would the performance be further improved if selecting the first few items with KL and then using DKL for later items? 5. As the DKL and GDI were originally proposed for CDMs with multiple attributes, I was wondering if these methods can also be extended to multidimentional IRT models? A discussion would be helpful. ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No Reviewer #3: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files to be viewed.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at figures@plos.org. Please note that Supporting Information files do not need this step. 14 Oct 2019 Please, see the Cover Letter, where we included our responses. Submitted filename: Response.docx Click here for additional data file. 21 Nov 2019 PONE-D-19-15008R1 Exchanging Item Selection Rules from Cognitive Diagnosis Modeling to Traditional Item Response Theory in Computerized Adaptive Testing PLOS ONE Dear Dr. Barrada, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. I appreciate the thorough revision of your manuscript. I believe it presents an interesting addition to the scientific literature. Therefore, I ask you to address the remaining minor comments raised by Reviewer 3 before I can formally accept you work for publication. We would appreciate receiving your revised manuscript by Jan 05 2020 11:59PM. When you are ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. To enhance the reproducibility of your results, we recommend that if applicable you deposit your laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols Please include the following items when submitting your revised manuscript: A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). This letter should be uploaded as separate file and labeled 'Response to Reviewers'. A marked-up copy of your manuscript that highlights changes made to the original version. This file should be uploaded as separate file and labeled 'Revised Manuscript with Track Changes'. An unmarked version of your revised paper without tracked changes. This file should be uploaded as separate file and labeled 'Manuscript'. Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out. We look forward to receiving your revised manuscript. Kind regards, Timo Gnambs Academic Editor PLOS ONE [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #1: All comments have been addressed Reviewer #3: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #3: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #3: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #3: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #3: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: ⋅ The manuscript improved noticeably from the first version. The depth of discussion on the item selection methods seems appropriate and can be instructive for future users of the suggested methods. ⋅ It came to my notion that the simulation study was conducted using a single sample of examinees (though large). Although the study used 10 different item pools, the unstable results may be due to sampling error. If the study were replicated many times (e.g., 100), we might have observed more consistent and systematic results in Figures 3-5, and if this was the case, the consistent tendencies among the different item selection methods would become worthy of discussion. ⋅ Overall, the manuscript seems in need of minor revision to improve grammar and readability. For example, - line 234) evaluate how the two ISRs originally proposed within the CD-CAT framework perform. - line 287) stable results - ‘Figure’ instead of ‘Fig’ ⋅ On a minor note, the authors argued that the quadrature points do not affect measurement accuracy. However, the fineness of quadrature points does impact estimation accuracy. Reviewer #3: I have read the revision. The authors have well addressed all my comments, and I recommend for publication. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #3: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files to be viewed.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at figures@plos.org. Please note that Supporting Information files do not need this step. 10 Dec 2019 We have included our response in the document attached as Cover Letter. RESPONSE TO REVIEWERS: MANUSCRIPT ID PONE-D-19-15008R1 December 10, 2019 Dear Dr. Timo Gnambs: Allow us to start by thanking you for the opportunity to revise and resubmit our manuscript “Adapting Cognitive Diagnosis Computerized Adaptive Testing Item Selection Rules to Traditional Item Response Theory” (MANUSCRIPT ID PONE-D-19-15008R1). We would also like to thank you and the reviewers for your constructive comments. In the pages that follow, we respond to the comments brought up by the reviewer. We hope that you will find the revised version of our manuscript suitable for publication in PLOS ONE. We look forward to hearing from you regarding our submission. Sincerely yours, On behalf of the authors, REVISION COMMENTS: REVIEWER 1: The manuscript improved noticeably from the first version. The depth of discussion on the item selection methods seems appropriate and can be instructive for future users of the suggested methods. We thank you for the kind words, as well as helpful suggestions on how we can improve our manuscript. It came to my notion that the simulation study was conducted using a single sample of examinees (though large). Although the study used 10 different item pools, the unstable results may be due to sampling error. If the study were replicated many times (e.g., 100), we might have observed more consistent and systematic results in Figures 3-5, and if this was the case, the consistent tendencies among the different item selection methods would become worthy of discussion. While we understand the reviewer’s concern regarding the sampling error, we would like to point out that the standard error of the average estimates for the dependent variables (e.g., RMSE) can be expected to be small. We have made clearer the total number of examinees used in our study (lines 267-268), which is larger than used in most studies in this area. Also, a common practice in this area is to use a single item bank: We have used 10. Figures 3-5 depict the average estimates across the item banks. The standard error for the average estimate of the DVs can be obtained as: SD(DV1, …, DV10) / √10, where SD is the standard deviation for the vector including the DV computed at each of the 10 item banks. We computed 95%-confidence intervals to further explore this issue. The RMSE results for the two methods with a more irregular trend (i.e., KL and DKL) are depicted here: We can see from these plots that: (1) When ML is used, results for the first items (1-3) can be noisier. Other than that, the confidence intervals are generally very narrow. We also checked whether each individual item bank generally followed a similar trend and we found that it was generally the case. For example, we found that RMSE values for KL and ML at item 3 were significantly greater than those at item 2 (p = 0.03, 95-CI for the different = [.008, 0.166]. (2) It should be noted that the more interesting interpretations are those made for situations in which the CAT could have ended (e.g., 10-20 items). In the figures it can be clearly seen that the standard deviation associated with the average values is close to zero, indicating that the trends and actual values computed for each of the item banks are practically identical. From these analyses we can conclude that increasing the number of item banks would not have any effect at those points considering that the sampling error is already sufficiently small with 10 item banks. Note that although we illustrated this using the data for RMSE, results can be extrapolated to the other dependent variables. In the response letter we argued why the results at the very start of the CAT (1-3 items) should be interpreted with caution considering the way the CATs were started (i.e., Dodd method and the two fictitious items to compute the likelihood). Considering the information we have discussed here, we have pointed out in the manuscript that the variability across the 10 simulated banks was generally small and always negligible when the trait level estimator was EAP and/or the CAT length was equal or greater than 4 items. We would also like to note than increasing the number of simulated items banks from 10 to 100 would imply 136 days of computation time. For each item bank we simulated 14,000 examinees (5,000 from a normal distribution and 9,000 for specific trait values) for two estimation methods, with a test length of 20 items. Considering the computation times per item reported in the manuscript –234.8 milisecond per item when all the four different item selection rules are added–, leads to a simulation that can be measured in months for this extension from 10 to 100 item banks. Overall, the manuscript seems in need of minor revision to improve grammar and readability. For example: - line 234: evaluate how the two ISRs originally proposed within the CD-CAT framework perform. - line 287: stable results - ‘Figure’ instead of ‘Fig’ A native English speaker revised the English language of our manuscript. Track changes was used, so all the modifications can be consulted in the revised version of the manuscript. Please note that according to PLOS ONE submission guidelines, figures should be cited as “Fig 1”, “Fig 2”, etc. On a minor note, the authors argued that the quadrature points do not affect measurement accuracy. However, the fineness of quadrature points does impact estimation accuracy. We agree with the reviewer’s comment. What we meant is that the impact can be expected to be negligible considering that a very large number of quadrature points (i.e., 81) was used to approximate the integrals. The default number of quadrature points in the R packages available for CAT is much smaller. The mirtCAT package uses 31 quadrature points when the number of factors is 2 (Chalmers, 2016) and the catR package uses 33 (catR; Magis & Barrada, 2017). We agree that we did not express it correctly, so we have modified that sentence in the manuscript (line 409-410). Work cited: Chalmers, R. P (2016). Generating adaptive and non-adaptive test interfaces for multidimensional item response theory applications. Journal of Statistical Software, 71(5), 1-39. doi:10.18637/jss.v071.i05 Magis, D., & Barrada, J. R. (2017). Computerized adaptive testing with R: Recent updates of the package catR. Journal of Statistical Software, 76(1), 1-19. doi:10.18637/jss.v076.c01 REVIEWER 3: I have read the revision. The authors have well addressed all my comments, and I recommend for publication. We appreciate your comments and suggestions to improve the manuscript. 16 Dec 2019 Adapting Cognitive Diagnosis Computerized Adaptive Testing Item Selection Rules to Traditional Item Response Theory PONE-D-19-15008R2 Dear Dr. Barrada, We are pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it complies with all outstanding technical requirements. Within one week, you will receive an e-mail containing information on the amendments required prior to publication. When all required modifications have been addressed, you will receive a formal acceptance letter and your manuscript will proceed to our production department and be scheduled for publication. Shortly after the formal acceptance letter is sent, an invoice for payment will follow. To ensure an efficient production and billing process, please log into Editorial Manager at https://www.editorialmanager.com/pone/, click the "Update My Information" link at the top of the page, and update your user information. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to enable them to help maximize its impact. If they will be preparing press materials for this manuscript, you must inform our press team as soon as possible and no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. With kind regards, Timo Gnambs Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: 27 Dec 2019 PONE-D-19-15008R2 Adapting Cognitive Diagnosis Computerized Adaptive Testing Item Selection Rules to Traditional Item Response Theory Dear Dr. Barrada: I am pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please notify them about your upcoming paper at this point, to enable them to help maximize its impact. If they will be preparing press materials for this manuscript, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. For any other questions or concerns, please email plosone@plos.org. Thank you for submitting your work to PLOS ONE. With kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Timo Gnambs Academic Editor PLOS ONE
  17 in total

1.  Incorporating randomness in the Fisher information for improving item-exposure control in CATs.

Authors:  Juan Ramón Barrada; Julio Olea; Vicente Ponsoda; Francisco José Abad
Journal:  Br J Math Stat Psychol       Date:  2007-08-04       Impact factor: 3.380

2.  Comparison of methods for controlling maximum exposure rates in computerized adaptive testing.

Authors:  Juan Ramón Barrada; Francisco José Abad; Bernard P Veldkamp
Journal:  Psicothema       Date:  2009-05

Review 3.  Computerized Adaptive Diagnosis and Testing of Mental Health Disorders.

Authors:  Robert D Gibbons; David J Weiss; Ellen Frank; David Kupfer
Journal:  Annu Rev Clin Psychol       Date:  2015-11-20       Impact factor: 18.561

4.  New Item Selection Methods for Cognitive Diagnosis Computerized Adaptive Testing.

Authors:  Mehmet Kaplan; Jimmy de la Torre; Juan Ramón Barrada
Journal:  Appl Psychol Meas       Date:  2014-11-13

5.  Using automatic item generation to create multiple-choice test items.

Authors:  Mark J Gierl; Hollis Lai; Simon R Turner
Journal:  Med Educ       Date:  2012-08       Impact factor: 6.251

6.  Cognitive diagnosis modelling incorporating item response times.

Authors:  Peida Zhan; Hong Jiao; Dandan Liao
Journal:  Br J Math Stat Psychol       Date:  2017-09-05       Impact factor: 3.380

7.  Evaluation of a mobile phone-based, advanced symptom management system (ASyMS) in the management of chemotherapy-related toxicity.

Authors:  N Kearney; L McCann; J Norrie; L Taylor; P Gray; M McGee-Lennon; M Sage; M Miller; R Maguire
Journal:  Support Care Cancer       Date:  2008-10-25       Impact factor: 3.603

8.  Development of a computerized adaptive test for depression.

Authors:  Robert D Gibbons; David J Weiss; Paul A Pilkonis; Ellen Frank; Tara Moore; Jong Bae Kim; David J Kupfer
Journal:  Arch Gen Psychiatry       Date:  2012-11

9.  Patient-reported outcomes: A new era in clinical research.

Authors:  Prasanna R Deshpande; Surulivel Rajan; B Lakshmi Sudeepthi; C P Abdul Nazir
Journal:  Perspect Clin Res       Date:  2011-10

10.  The Accuracy of Computerized Adaptive Testing in Heterogeneous Populations: A Mixture Item-Response Theory Analysis.

Authors:  Richard Sawatzky; Pamela A Ratner; Jacek A Kopec; Amery D Wu; Bruno D Zumbo
Journal:  PLoS One       Date:  2016-03-01       Impact factor: 3.240

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1.  Improving Accuracy and Usage by Correctly Selecting: The Effects of Model Selection in Cognitive Diagnosis Computerized Adaptive Testing.

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2.  Development of an Adaptive Computer-Aided Soft Sensor Diagnosis System for Assessment of Executive Functions.

Authors:  Katalin Mohai; Csilla Kálózi-Szabó; Zoltán Jakab; Szilárd Dávid Fecht; Márk Domonkos; János Botzheim
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