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Updated: May 31, 2026

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences
Published on: September 4, 2019
New technologies to manage exam anxiety
Alessandra Grassi1, Andrea Gaggioli, Giuseppe Riva
1Applied Technology for Neuro-Psychology Lab, Istituto Auxologico Italiano, Milano, Italy. a.grassi@auxologico.it
Multimedia audio-video content effectively reduced university students' exam anxiety and increased relaxation. This Stress Inoculation Training protocol demonstrated the benefits of combined audio-visual stimuli for managing student stress.
Area of Science:
- Psychology
- Educational Technology
- Mental Health
Background:
- Exam anxiety is a prevalent issue among university students, potentially impacting academic performance.
- Stress Inoculation Training (SIT) is a psychological intervention aimed at building resilience to stressful events.
- Multimedia interventions are increasingly explored for their potential in delivering therapeutic content.
Purpose of the Study:
- To investigate the efficacy of a Stress Inoculation Training protocol using multimedia content in reducing exam anxiety.
- To compare the effects of audio-video versus audio-only content delivery on emotional changes and anxiety levels.
- To assess the impact of different media platforms (mobile phone, DVD, MP3 player, CD) on the effectiveness of the intervention.
Main Methods:
- Seventy-five university students participated in six experimental sessions involving multimedia content and relaxation exercises.
- Participants were randomly assigned to five groups: audio-video on mobile (UMTS), audio-video on DVD, audio on MP3, audio on CD, and a control group.
- The intervention utilized a Stress Inoculation Training-based protocol.
Main Results:
- Audio-video content significantly reduced exam anxiety in students compared to audio-only formats.
- Participants engaging with audio-video content reported a significant increase in relaxation levels.
- The study found differences in efficacy based on content delivery format, with combined audio-visual being more effective.
Conclusions:
- Multimedia interventions incorporating both audio and video elements are effective in mitigating exam anxiety in university students.
- Stress Inoculation Training delivered via multimedia, particularly with audio-visual components, offers a promising approach to enhance student well-being.
- Future research should explore optimal multimedia designs and delivery platforms for psychological interventions in academic settings.
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