Integrative Medicine on Exam Anxiety

NCT03645811 | Completed Results

• 1 other identifier: 10840098-604.01.01-E.11892
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Test anxiety, one of the forms of situational anxiety, is a crucial biopsychological factor negatively affecting the wellbeing and academic performance of students throughout their education. The study aims to determine the effects of music therapy and EFT (Emotional Freedom Technique) on situational anxiety and vital signs in nursing students before they take the OSCE (Objective Structured Clinical Exam). The study was a randomized controlled experimental study and conducted with 90 volunteering students studying at the Faculty of Health Sciences, Department of Nursing at a university in Istanbul. A computer-based random number generator was used to randomly assign the students into three groups (Music, EFT, and control), each of which consisted of 30 students. Data collection was carried out using a Student Identification Form, the Situational Anxiety Scale, and the Vital Signs Form.

Conditions

Anxiety; Educational Problems

Keywords

anxiety; OSCE; EFT; music

Outcome Measures

Primary Outcomes (1)

• The Situational-Continuous Anxiety Inventory

  The Situational Anxiety Scale was used for scoring anxiety. The Situational-Continuous Anxiety Inventory includes two separate scales with a total of 40 items. This study employed the Situational Anxiety Scale. The Situational Anxiety Scale consists of a total of 20 items. Its reliability coefficient varies between 0.83-0.96. The participants were expected to respond to the items according to their feelings and thoughts at that moment. In this study, the Cronbach's alpha value of the Situational Anxiety Scale was 0.92. The items of the Situational Anxiety Scale are scored on a scale of 1-4 depending on the level at which the mentioned emotions or behaviors were experienced. The total score obtained from the scale can vary between 20 and 80. Higher scores indicate higher levels of anxiety.

  Immediately after intervention completion, an average of 1 hours

Study Arms (3)

Implementation of music therapy

EXPERIMENTAL

For the music therapy, lecturers specializing in music therapy were consulted and accordingly a "mahur maqam," an instrumental piece of traditional Turkish music played on the saz, was chosen. The mahur maqam has a descending scale, which has a relaxing impact as it moves along a 1-2 octave sound spectrum. It elicits feelings of joy and positivity, and immediately draws the attention of the listener, helping keep the mind clear. The mahur maqam belongs to the rast maqam family. Rast maqams are usually evocative of feelings of peacefulness, surrender, tranquility, trust, and mystical sentiments.

Behavioral: Music Therapy

Implementation of EFT

EXPERIMENTAL

The EFT application protocol was explained to the students with the help of the image in the picture for 5 minutes. The method was applied through the investigator tapping on their bodies and the students repeating the steps for three sessions. Each of the treatment sessions was approximately three minutes, resulting in a nine-minute treatment for intervention. Each EFT session was performed by following the steps below. The content of each EFT session was as follows: 1. Preparation 2. Tapping Series 3. The Nine Gamut Sequence and Eye Movements

Behavioral: EFT

Control

NO INTERVENTION

For the control group, 15 minutes of free time was given.

Interventions

Music Therapy BEHAVIORAL

Music therapy was applied in the application room. Via a portable computer, students listened to the mahur maqam for 20 minutes under the supervision of the investigators using an MP3 player.

Implementation of music therapy

EFT BEHAVIORAL

EFT includes taps, nine gamut sequences, and eye movements on the meridian system, focusing on the individual's inhibiting thoughts, disturbing emotions, or memories. EFT regulates the flow of energy in the meridian system of the individual, causing relaxation in the mind, body, and emotions.

Implementation of EFT

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• being 18 years old or above,
• taking the theoretical course of Nursing Principles I and II,
• entering the OSCE on May 31 as part of the Nursing Principles course.

You may not qualify if:

• did not volunteer to participate in the study
• arrived late or did not turn up

Sponsors & Collaborators

• Istanbul Saglik Bilimleri University: lead

Study Sites (1)

Medipol Universtiy

Istanbul, 34668, Turkey (Türkiye)

Location

Related Publications (3)

• Torabizadeh C, Bostani S, Yektatalab S. Comparison between the effects of muscle relaxation and support groups on the anxiety of nursing students: A randomized controlled trial. Complement Ther Clin Pract. 2016 Nov;25:106-113. doi: 10.1016/j.ctcp.2016.09.001. Epub 2016 Sep 7.

  PMID: 27863599 BACKGROUND

• Ince S, Cevik K. The effect of music listening on the anxiety of nursing students during their first blood draw experience. Nurse Educ Today. 2017 May;52:10-14. doi: 10.1016/j.nedt.2017.02.009. Epub 2017 Feb 14.

  PMID: 28214664 BACKGROUND

• Patterson SL. The effect of emotional freedom technique on stress and anxiety in nursing students: A pilot study. Nurse Educ Today. 2016 May;40:104-10. doi: 10.1016/j.nedt.2016.02.003. Epub 2016 Feb 7.

  PMID: 27125158 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Music Therapy

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Results Point of Contact

• Title: Dr. Demet İnangil
• Organization: University of Health Science

demet.inangil@sbu.edu.tr

+905303021160

Study Officials

• Demet İnangil, PhD

  Saglik Bilimleri Universitesi

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Students who arrived on the day of the exam were assigned to the music therapy (M1 and M2), and EFT (E1 and E2) groups, and the control group (K1 and K2).
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: August 9, 2018
• First Posted: August 24, 2018
• Study Start: January 1, 2017
• Primary Completion: May 31, 2017
• Study Completion: May 14, 2018
• Last Updated: March 11, 2020
• Results First Posted: March 11, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)