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Virtual Reality to Cope With Academic Stress

Not Applicable
Completed
Conditions
Stress, Physiological
Stress, Psychological
Interventions
Behavioral: Guided visualization of exams through immersive virtual reality
Behavioral: Guided visualization of exams through traditional method
Registration Number
NCT05828329
Lead Sponsor
University of the Balearic Islands
Brief Summary

The new technologies may facilitate the teaching-learning process through the ubiquitous and active approach. However, stress from academic exams remains being high among undergraduate students. Although new technologies could be useful to simulate and control academic stressful situations through immersive virtual reality, no studies to date have evaluated its effectiveness. This study is designed to evaluate the effects of a virtual reality program to visualize stressful academic situations like exams on the level of psychological and physiological stress and academic performance of Physiotherapy and Nursing undergraduate students. To this end, an experimental study with two experimental groups and one control group is designed: experimental group 1 (EG1) will complete a 4-weeks program of guided visualization of exams through immersive virtual reality; experimental group 2 (EG2) will complete a 4-weeks program of traditional guided visualization of exams (through audio); control group (CG) will not receive any visualization program, as the most habitual strategy to cope with exams among students. Before and after the intervention period, all students will fulfill an online questionnaire to inform about their level of academic stress (SISCO inventory) and perceived stress from the last month (Perceived Stress Scale). Also, just before starting the exam they will have been visualizing, level of stress (0 to 10 points), blood pressure (mmHg), maximal heart rate (ppm) and salivary cortisol level will be assessed in all students. Qualifications of the exam will be also collected. Intra-group differences and between-group differences at post-intervention time will be obtained.

Detailed Description

As eligibility criteria, participants should be enrolled in at least 80% of subjects of an usual academic course during the year in which the study is carrying out; and not to have previous experience in similar guided visualization to cope with stressful situations.

Intervention of EG1: The 4-weeks program with virtual reality will consist of a 30-minutes guided visualization session through virtual reality glasses (two sessions per week). Students will visualize a 360º video that simulates the entire experience of an exam, from first person perspective.

Intervention of EG2: The 4-weeks program of traditional visualization will consist of a 30-minutes traditional guided visualization session, by listening only the part of the audio used for EG1.

CG will not receive any intervention, as the most used strategy to cope with exams among students. After finishing the study, this group will receive the same program that EG1 or EG2 received, if they are interested.

The main outcomes will be the intra-group and between-group changes in the level of academic stress and the perceived stress from the last month. Also, between-group differences in the level of stress (0 to 10 points), arterial tension (mmHg), maximal heart rate (ppm) and salivary cortisol level just before exams.

As secondary outcomes, between-group differences in qualifications of exams that they will have been visualizing will be also considered (it will be taken into account their average qualifications in the degree).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • To be enrolled in at least 80% of subjects of an usual academic course during the year in which the study is carrying out.
  • Not to have previous experience in guided visualization to cope with stressful situations.
Exclusion Criteria
  • Not to understand the Spanish language

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental group 1Guided visualization of exams through immersive virtual realityThe program with virtual reality will consist of a 30-minutes guided visualization session through virtual reality glasses. Students will visualize a 360º video that simulates the entire experience of an exam, from first person perspective.
Experimental group 2Guided visualization of exams through traditional methodThe 4-weeks program will consist of a 30-minutes traditional guided visualization session, by listening only the part of the audio used for EG1.
Primary Outcome Measures
NameTimeMethod
Perceived stress in the last month4 weeks

Between-group and intra-group differences in perceived stress of the last month, which will be registered with the Perceived Stress Scale. This survey has 10 questions (using Likert scales from 0-5, being 0 never and 5 very often). To interpret this questionnaire, individual scores can range from 0 to 40 with higher scores indicating higher perceived stress.

Academic stress4 weeks

Between-group and intra-group differences in academic stress, which will be registered with the SISCO Inventory version-21. This is the 21-items "Inventario SIStémico COgnoscitivista" for the study of the academic stress, composed by 21 items: the first item is dichotomous (yes-no) and the remaining 20 items are 5-point Likert scale, scored from 1 (never) to 5 (always). The maximal punctuation is 100 (maximal stress).

Secondary Outcome Measures
NameTimeMethod
Salivary cortisol levelImmediately before the exam

Between-group differences in the salivary cortisol level just before starting the exam

Level of current perceived stressImmediately before the exam

Between-group differences in the level of perceived stress just at the moment prior to start the exam (10 minutes earlier). To evaluate it, students will inform about what level of stress they are feeling at that moment (being 0, no stress, and 10 maximal stress).

Maximal heart rateImmediately before the exam

Between-group differences in the maximal heart rate just before starting the exam

Blood pressureImmediately before the exam

Between-group differences in the blood pressure just before starting the exam. It will be recorded by a healthcare professional by using a stethoscope and registering the systolic and diastolic blood pressure.

Exam qualification (0 to 10 punctuation) pondered by the average qualification of the degreeOne week after the exam (an only measurement)

Between-group differences in the exam qualification (it refers to exam that students will have been visualizing) just before starting the exam. The qualification of the exam will range from 0 (the worst punctuation) to 10 (perfect punctuation). In this outcome, the average qualification of the degree for each student will be considered (from the worst, 0 points, to the best, 10 points). For example, if the student has 8 points as average qualification of the degree and obtains an exam qualification of 9 points, it will be pondered as follows: 9/8 = 1.125.

Trial Locations

Locations (1)

University of the Balearic Islands

🇪🇸

Palma De Mallorca, Balearic Islands, Spain

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