School-based Interventions for Test Anxiety in Adolescents
Reducing Clinical Anxiety in Adolescents Through Selective Intervention
1 other identifier
interventional
400
0 countries
N/A
Brief Summary
This study evaluates the clinical and cost effectiveness of test anxiety as a form of selective prevention for clinical anxiety. Participants will be randomly allocated to cognitive behavioural therapy without booster sessions, cognitive behavioural therapy with two booster sessions, or a no intervention control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable anxiety
Started Sep 2021
Longer than P75 for not_applicable anxiety
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 16, 2018
CompletedFirst Posted
Study publicly available on registry
August 1, 2018
CompletedStudy Start
First participant enrolled
September 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2024
CompletedSeptember 4, 2020
September 1, 2020
1.7 years
July 16, 2018
September 2, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Test Anxiety Inventory
The Test Anxiety Inventory is a 20 item measure measured on a 4-point scale (1 = Almost Never, 4 = Almost Always). Three scores are provided: Total (20 items), worry subscale (8 items) and emotionality (8 items). The total score range is 20-80 and the worry and emotionality subscale scores are 8-32. A higher score represents higher anxiety. This will administered 4 times over a 12 month period to assess change: Baseline, 6 weeks (immediate-post intervention), 6-month follow-up and 12 month follow-up.
Change assessed over a 12 month period
Secondary Outcomes (5)
The Metacognition Questionnaire
Change assessed over a 12 month period
Cognitive Emotion Regulation Questionnaire (short version)
Change assessed over a 12 month period
Motivation and Engagement Scale (uncertain control subscale)
Change assessed over a 12 month period
Revised Children's Anxiety and Depression Scale (panic, generalized anxiety, and social anxiety subscales)
Change assessed over a 12 month period
School-related Wellbeing Scale
Change assessed over a 12 month period
Study Arms (3)
Cognitive Behaviour Therapy
EXPERIMENTALCognitive behaviour therapy conducted in groups of 6-8 persons.One forty-five minute session per week for 6 weeks: Triggers for anxiety, identifying and challenging negative thoughts, relaxation, overcoming avoidance, and goal setting.
Cognitive Behaviour Therapy with 2 Booster Sessions
EXPERIMENTALCognitive behaviour therapy conducted in groups of 6-8 persons.One forty-five minute session per week for 6 weeks: Triggers for anxiety, identifying and challenging negative thoughts, relaxation, overcoming avoidance, and goal setting. 2 booster sessions (forty-five minutes each) will be provided at three and nine months. Each session will recap the content of the initial 6 sessions.
Control
NO INTERVENTIONThis is a no intervention control arm
Interventions
Students learn about different triggers for anxiety, what the signs and indicators of anxiety are, and identify their own triggers for anxiety
Students learn about the types of unrealistic thoughts that underpin anxiety and how anxiety can be reduced with more realistic thoughts. Students identify their own unrealistic thoughts that contribute to anxiety and what more realistic thoughts can be used.
Students are taught to relax through (1) breathing exercises, (2) progressive muscle relaxation, and (3) imagery. Student practice these techniques.
Students learn how to set goals, monitor goal progress, and check when goals have been achieved. Students then identify their own goals.
Students identify ways that they avoid anxiety-provoking situations (e.g., procrastinating exam study). Students develop plans for exposure to anxiety-provoking situations and learn study strategies to build confidence.
Eligibility Criteria
You may qualify if:
- Participants are aged 14-16 years of age
- In the upper 66th percentile of test anxiety scores
You may not qualify if:
- Participants are receiving other treatment for anxiety
- Participants have a diagnosis of clinical anxiety depression or Attention Deficit Hyperactivity Disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Liverpool John Moores Universitylead
- Wellcome Trustcollaborator
- Manchester Universitycollaborator
- Leeds Universitycollaborator
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Sequentially numbered opaque sealed envelopes will be used to conceal allocation. Envelopes will be prepared by a member of the research team and opened by participants.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 16, 2018
First Posted
August 1, 2018
Study Start
September 1, 2021
Primary Completion
June 1, 2023
Study Completion
December 1, 2024
Last Updated
September 4, 2020
Record last verified: 2020-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- Data will be uploaded in December 2022 and remain available permanently
- Access Criteria
- Registration with Mendeley Open Data or Science Direct
A curated dataset will be uploaded to the Mendeley Open Data repository and assigned a doi that can be linked to all published articles via Science Direct