The Effect of Twin Heart Meditation on Exam Anxiety of Nursing Students

NCT07098208 | Completed DMC

• 1 other identifier: PVF2025CAM002
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized clinical trial aimed to evaluate the effectiveness of Twin Heart Meditation in reducing exam anxiety among undergraduate nursing students. The study focused on whether regular practice of this meditation technique could significantly reduce state anxiety before examinations. The main research questions were: Does Twin Heart Meditation reduce exam-related anxiety among nursing students? Can this complementary and non-invasive method be considered a viable approach for managing academic stress? Participants were randomly assigned to either the intervention group, which practiced Twin Heart Meditation, or the control group, which followed routine academic activities. Pre- and post-intervention anxiety levels were measured using the State-Trait Anxiety Inventory (STAI).

Conditions

Exam Anxiety; Meditation

Keywords

Nursing Students; Complementary Therapies; Mental Health

Outcome Measures

Primary Outcomes (1)

• Test Anxiety Levels

  The primary outcome measure evaluates changes in exam-related anxiety levels among nursing students. Anxiety is measured using the State-Trait Anxiety Inventory (STAI), a validated psychological tool that assesses both temporary (state) and long-standing (trait) anxiety. The STAI includes two subscales, each with 20 items scored on a 4-point Likert scale. Higher scores indicate higher levels of anxiety.

  Anxiety levels are measured at two time points-one week before the final exam and two hours before the final exam

Study Arms (2)

Twin Heart Meditation

EXPERIMENTAL

Behavioral: Twin Heart Meditation Participants in this group receive the Twin Heart Meditation intervention, a guided meditative technique based on the principles of loving-kindness and spiritual energy. The intervention is designed to reduce exam-related anxiety by promoting inner peace and emotional regulation.

Behavioral: Twin Heart Meditation

Routine Academic Preparation

NO INTERVENTION

Participants in this group continue with their usual academic preparation and receive no additional interventions.

Interventions

Twin Heart Meditation BEHAVIORAL

Participants in this group receive the Twin Heart Meditation intervention, a guided meditative technique based on the principles of loving-kindness and spiritual energy. The intervention is designed to reduce exam-related anxiety by promoting inner peace and emotional regulation. The meditation protocol follows the steps conceptualized by Master Choa Kok Sui and includes the following components: * Physical warm-up exercises * Activation of the heart chakra * Activation of the crown chakra * Blessing the Earth with loving-kindness * Silent meditation using the phrase "Amen" * Expression of gratitude * Closing exercises Participants practice the meditation in three guided sessions over one week, each lasting 30 minutes, under the supervision of a trained instructor. Sessions are conducted in a quiet room with audio guidance and follow-up support.

Twin Heart Meditation

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All seventh-semester undergraduate nursing students, both female and male, enrolled in the English-language program at the Department of Nursing, Near East University.
• Students not using any other stress reduction methods, such as progressive muscle relaxation, pharmacological therapy, or similar techniques, to manage exam-related anxiety.
• Students who voluntarily agreed to participate in the study and provided informed consent.

You may not qualify if:

• Doing meditation less than 3 times a week
• Unwilling to continue cooperation in the project,
• Using any psycho medicines (anti-depressants ...), mental health
• Mourning, especially the death of loved ones or relatives in the 1st phase.

Sponsors & Collaborators

• Near East University, Turkey: lead

Study Sites (1)

Near East University

Nicosia, KKTC (Turkish Republic of Northern Cyprus),, 99138, Cyprus

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Pouran Varvani Farahani, PhD

  PhD in Pediatric Nursing, Department of Nursing, Faculty of Health Science, Cyprus International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Double-Blind (Investigator, Outcomes Assessor): To minimize bias, a double-blind approach is employed. The data are collected by the researcher, who remains unaware of group assignments, and the statistician performing the analysis is also blinded to the allocation. The data are analyzed as anonymous variables (x₁ and x₂) to preserve objectivity.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD in Pediatric Nursing, Department of Nursing, Faculty of Health Science, Cyprus International University,

Model Details: Participants in this clinical trial are randomly assigned to one of two groups: an experimental group receiving Twin Heart Meditation and a control group receiving standard academic care. Both groups are observed in parallel throughout the study duration.

Study Record Dates

• First Submitted: July 25, 2025
• First Posted: August 1, 2025
• Study Start: May 1, 2024
• Primary Completion: May 30, 2024
• Study Completion: May 30, 2024
• Last Updated: August 1, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

CY (1)