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.
Test anxiety is a common problem among university students, often linked to academic pressure, limited access to professional support, and stigma around seeking help. Students with high levels of test anxiety may experience stress, concentration problems, and reduced academic performance. While face-to-face psychological interventions can be effective, many students cannot benefit from them due to financial, logistical, or accessibility barriers. This study introduces SKY-Flash, an internet-based version of the EMDR Flash technique. The program was designed as a self-help intervention that students can use independently, without therapist guidance. The aim is to reduce test anxiety and improve psychological well-being by adapting EMDR Flash procedures into an online format that is accessible, private, and user-friendly. The research will be conducted as a randomized controlled trial with two groups: an intervention group and a wait-list control group. A total of 168 university students will be recruited and randomly assigned to one of the groups. Participants in the intervention group will complete a six-module online program based on EMDR Flash principles. The modules include interactive exercises, multimedia elements, and gamification features to support engagement and reduce dropout. The control group will not receive any intervention during the study period but will gain access to the program after follow-up assessments. Data will be collected at three time points: pre-test, post-test, and one-month follow-up. Primary outcomes will be test anxiety, measured by the Westside Test Anxiety Scale. Secondary outcomes will include psychological well-being and usability feedback. In addition, semi-structured interviews will be conducted with a subgroup of participants to gather in-depth information about usability and user experience. The study is expected to show whether an online EMDR Flash intervention can effectively reduce test anxiety and improve well-being in university students. If effective, SKY-Flash may serve as a scalable, cost-effective, and stigma-free resource for students who struggle with test anxiety and have limited access to psychological services.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
168
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.
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.
Time frame: 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.
Time frame: 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 Psychological Well-Being (Psychological Well-Being Scale)
Psychological well-being will be measured using the Ryff Psychological Well-Being Scale. The total score reflects overall well-being, with higher scores indicating greater psychological well-being. This outcome will evaluate whether the intervention improves students' well-being in addition to reducing test anxiety.
Time frame: From baseline (Week 0) to post-intervention (Week 6), with follow-up assessments at Week 10.
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