Quality of Life Research

, Volume 16, Supplement 1, pp 109–119

Methodological issues for building item banks and computerized adaptive scales

  • David Thissen
  • Bryce B. Reeve
  • Jakob Bue Bjorner
  • Chih-Hung Chang
Original Paper

DOI: 10.1007/s11136-007-9169-5

Cite this article as:
Thissen, D., Reeve, B.B., Bjorner, J.B. et al. Qual Life Res (2007) 16(Suppl 1): 109. doi:10.1007/s11136-007-9169-5


This paper reviews important methodological considerations for developing item banks and computerized adaptive scales (commonly called computerized adaptive tests in the educational measurement literature, yielding the acronym CAT), including issues of the reference population, dimensionality, dichotomous versus polytomous response scales, differential item functioning (DIF) and conditional scoring, mode effects, the impact of local dependence, and innovative approaches to assessment using CATs in health outcomes research.


Item bank Computerized adaptive scale Computerized adaptive test Item response theory Dimensionality assessment Differential item functioning Local dependence 

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • David Thissen
    • 1
  • Bryce B. Reeve
    • 2
  • Jakob Bue Bjorner
    • 3
    • 4
  • Chih-Hung Chang
    • 5
  1. 1.University of North Carolina at Chapel HillChapel HillUSA
  2. 2.National Cancer Institute, NIHBethesdaUSA
  3. 3.QualityMetric IncLincolnUSA
  4. 4.Health Assessment LabWalthamUSA
  5. 5.Northwestern University Feinberg School of MedicineChicagoUSA