Internet-Based EMDR Flash Intervention for Test Anxiety in University Students
Examining the Effect of Internet-Based EMDR Flash Intervention (SKY-Flash) on University Students' Test Anxiety Levels and User Experiences
1 other identifier
interventional
168
0 countries
N/A
Brief Summary
The aim of this study is to investigate whether an Internet-based EMDR Flash intervention can help reduce exam anxiety among university students. Participants will utilize the online SKY-Flash program and report their levels of exam anxiety at pre-intervention, post-intervention, and follow-up assessments. In addition, the study will collect feedback regarding participants' overall experiences with the program. The primary objective is to determine whether SKY-Flash constitutes a practical and effective approach to reducing exam anxiety among students, while also exploring their perceptions of the intervention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2026
Shorter than P25 for not_applicable
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
August 20, 2025
CompletedFirst Posted
Study publicly available on registry
September 4, 2025
CompletedStudy Start
First participant enrolled
March 15, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2026
ExpectedSeptember 10, 2025
September 1, 2025
2 months
August 20, 2025
September 3, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in Test Anxiety (Westside Test Anxiety Scale Scores)
The primary outcome is the change in test anxiety levels, assessed with the Westside Test Anxiety Scale (WTAS). The WTAS is a validated self-report measure specifically developed to assess test-related anxiety and performance-impairing worry. Higher scores indicating greater test anxiety. This outcome will determine whether the internet-based EMDR-Flash intervention reduces participants' test anxiety compared to the control condition.
participants will be assessed at baseline (Week 0), immediately after the intervention (Week 6), and again at a follow-up point 10 weeks later
Change in Test Anxiety
The primary outcome is the change in test anxiety levels, assessed with the Westside Test Anxiety Scale (WTAS). The WTAS is a validated self-report measure specifically developed to assess test-related anxiety and performance-impairing worry. . This outcome will determine whether the internet-based EMDR-Flash intervention reduces participants' test anxiety compared to the control condition.
participants will be assessed at baseline (Week 0), immediately after the intervention (Week 6), and again at a follow-up point 10 weeks later
Secondary Outcomes (1)
Change in Psychological Well-Being (Psychological Well-Being Scale)
From baseline (Week 0) to post-intervention (Week 6), with follow-up assessments at Week 10.
Study Arms (2)
Intervention Group - Internet-Based EMDR-Flash Program
EXPERIMENTALParticipants in this group will receive the internet-based EMDR-Flash intervention designed to reduce test anxiety. The program includes structured online sessions where participants apply EMDR-Flash techniques in a unguided digital format.
Wait-list Control Group
NO INTERVENTIONParticipants assigned to this group will not receive the intervention during the study period. They will remain on a wait-list and will be offered access to the internet-based EMDR-Flash program after the completion of the study.
Interventions
Self-guided, internet-based EMDR-Flash program (SKY-Flash) tailored to reduce test anxiety in university students. Delivered via a secure web platform with no live therapist involvement. The intervention comprises six \~40-minute modules completed independently during the study. Each module includes brief psychoeducation and step-by-step EMDR-Flash procedures (focus on a positive engaging image with brief "flash" cues), guided practice, and in-platform exercises. Gamification (progress tracking, badges) and automated prompts support adherence. Unlike CBT-based online programs or clinician-delivered EMDR, this is a fully automated, low-intensity Flash protocol adapted to exam-related distress. Safety messaging and referral resources are embedded; access is via individual login and usage is recorded for adherence.
Eligibility Criteria
You may qualify if:
- Voluntary participation in the study Being older than 18 years and currently enrolled as a university student Having a valid e-mail address Having internet access (computer or mobile device) Scoring above the average on the Test Anxiety Scale Scoring below 15 on the Patient Health Questionnaire-9 (PHQ-9), based on established cutoff points
You may not qualify if:
- Currently receiving psychological help from a psychologist, counselor, or psychiatrist Having any diagnosed psychiatric disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Burak Köksal, Dr.
Tokat Gaziosmanpaşa University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Participants are blinded to group assignment. They are not informed whether they are in the intervention group or in the wait-list control group. Investigators are aware of group allocation.
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
August 20, 2025
First Posted
September 4, 2025
Study Start
March 15, 2026
Primary Completion
May 1, 2026
Study Completion (Estimated)
June 30, 2026
Last Updated
September 10, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF
- Time Frame
- De-identified IPD will be available beginning 6 months after publication of the main results and will be accessible for a period of 5 years
- Access Criteria
- Data will be made available to qualified researchers affiliated with academic institutions upon reasonable request. Requests will be reviewed by the study team, and data will be shared through secure data transfer agreements ensuring participant confidentiality
De-identified individual participant data (IPD) will be shared, including demographic information (age, gender, academic year), baseline and follow-up scores on the Test Anxiety Scale, PHQ-9, and WETSIDE measures. No personally identifiable information will be shared.