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Reducing Test Anxiety in High School Students

Efficacy of a Cognitive Behavioural-based Intervention in Reducing Test Anxiety in High School Students: a Pilot Cluster Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05481099
Enrollment
519
Registered
2022-08-01
Start date
2019-12-01
Completion date
2020-03-10
Last updated
2022-08-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Test Anxiety

Brief summary

School-age test anxiety is an important risk factor for school performance. Notwithstanding, few studies seek to identify which strategies are effective in improving test anxiety. This study aimed to test whether a cognitive-behavioural intervention for high school students could significantly reduce test anxiety. A two-arm, cluster-randomized controlled, unblinded, parallel, trial was conducted. Participants were students of the 10th year of the Alves Martins High School in Viseu, Portugal. Students were randomized at class level to receive a cognitive-behavioural-based intervention combined with mindfulness, psychoeducation, and relaxation techniques, or to a control group with no intervention. Participants' anxiety levels were measured using the Test Anxiety Questionnaire. The analysis of the effect of the intervention was carried out on an intention-to-treat basis at the class level, using multilevel mixed effects models and Bayesian modelling.

Interventions

BEHAVIORALIntervention

Cognitive-behavioural-based intervention combined with mindfulness (attention focus), psychoeducation, and relaxation techniques (short version of Jacobson's progressive relaxation, breathing exercises)

Sponsors

Casa de Saúde São Mateus - Hospital
CollaboratorUNKNOWN
Agrupamento de Centros de Saúde de Dão Lafões
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* 10th grade students; both students and parents provide written informed consent

Exclusion criteria

* cognitive inability to answer the questionnaire and/or to participate in the intervention

Design outcomes

Primary

MeasureTime frameDescription
Test anxiety12 weeksParticipants' test anxiety will be assessed using the Test Anxiety Questionnaire. Scores on the questionnaire range from 10 to 50 points. Higher scores mean higher anxiety levels.

Secondary

MeasureTime frameDescription
Worry12 weeksParticipants' worry will be assessed using the Worry subscale (items 1-5) of the Test Anxiety Questionnaire. Scores on the questionnaire range from 5 to 25 points. Higher scores mean higher worry-related anxiety levels.
Emotionality12 weeksParticipants' emotionality will be assessed using the Emotionality subscale (items 6-10) of the Test Anxiety Questionnaire. Scores on the questionnaire range from 5 to 25 points. Higher scores mean higher emotionality-related anxiety levels.

Countries

Portugal

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026