Title: Estimating the Joint Item-Score Density Using an Unrestricted Latent Class Model: Advancing Flexibility in Computerized Adaptive Testing Authors: Anastasios Psychogyiopoulos, Niels Smits, L. Andries van der Ark Abstract: Computer adaptive testing (CAT) shortens test duration without affecting measurement accuracy, hence preventing biased evaluation and incorrect or inefficient treatment. However, the assumptions of item-response theory models—commonly used in CAT—may be too stringent for some tests. This study investigates the bias and accuracy of a flexible CAT procedure, coined LSCAT (for latent-class sum-score CAT). In the calibration phase, an unrestricted latent class model estimates the joint item-score density (π) and the total-score density (π+); in the operational phase, the respondents’ expected sum scores are estimated. The paper’s first study indicates that using the Bayesian Information Criterion (BIC) to determine the number of latent classes produces the most accurate estimates of π and π+. The second study shows that the unrestricted latent class model more accurately estimates π and π+ than the two-parameter logistic model, especially under a complex data-generating mechanism. As a proof of concept, the third study compared the efficiency of LSCAT and a traditional CAT procedure using the two-parameter logistic model using a single empirical data set. The two CAT procedures were approximately equally efficient, yet LSCAT was more efficient for the high- and low-scoring respondents, while less efficient for respondents in the middle. Keywords: Computer adaptive testing, item-calibration, latent class analysis, model selection, density-estimation, CAT simulation