Published Sep 15, 2016
Breanne Bovee


Objective: High-stakes testing environments may lead to test anxiety in college students and may negatively impact college performance. Learning strategies related to test taking, test administration and test preparation may reduce test anxiety. Collaborative testing is one possible method for reducing test anxiety. A decrease in test anxiety may also lead to other positive benefits such as improved test scores, increased confidence, critical thinking and student satisfaction.  This paper examines collaborative testing’s effect on test anxiety in students at professional health institutions.Data Sources: The literature was searched using PubMed, google scholar Ebscohost and Science Direct. Indexing terms included collaborative testing and test anxiety in the English language only.Study Selection: Studies were selected if they examined test anxiety and collaborative testing at professional health institutions. Seven articles were initially selected. After reviewing, 4 articles were eventually chosen.Data Synthesis: Results were similar in the 4 studies. Students who took tests collaboratively had a reduction in test anxiety compared to students who took tests individually. Other interesting findings were improved test scores, increased confidence, critical thinking skills and student satisfaction.Conclusion: Collaborative testing may help reduce test anxiety. Faculty and administrators may want to incorporate this testing strategy into their classrooms to help reduce test anxiety. Findings of improved test scores, increased confidence, increased critical thinking skills and positive student’s attitudes may result from a decrease in test anxiety, collaborative testing or both. Further evaluation of collaborative testing’s impact on test anxiety and academic performance is needed. (Chiropr J Australia 2016;44:214-221)
Abstract 362 | PDF Downloads 343



Collaborative Testing, Test Anxiety, Nursing, Chiropractic, Group Testing

1. Definition of Anxiety., accessed May 14, 2016
2. Zhang N, Henderson CNR. Test anxiety and academic performance in chiropractic students. J Chiropr Educ 2014;28:2-8
3. Encandela J, Gibson C, Angoff N, Leydon G, Green M. Characteristics of anxiety among
4. Kurt AS, Balci S, Kose D. Test anxiety levels and related factors: Students preparing for university exams. J Pak Med Assoc 2014;64:1235-1239
5. Hjeltnes A, Binder P-E, Moltu C, Dundas I. Facing the fear of failure: An explorative qualitative study of client experiences in a mindfulness-based stress reduction program for university students with academic evaluation anxiety. Int J Qual Stud Health Well-being 2015;10:27990
6. Steinmayr R, Crede J, McElvany N, Wirthwein L. Subjective well-being, test anxiety, academic achievement: Testing for reciprocal effects. Front Psychol 2016;6
7. Rajiah K, Saravanan C. The effectiveness of psychoeducation and systematic desensitization to reduce test anxiety among first-year pharmacy students. Am J Pharm Educ 2014;78
8. Dimitriev DA, Saperova E V, Dimitriev AD. State Anxiety and Nonlinear Dynamics of Heart Rate Variability in Students. PLoS One 2016;11medical students and congruence strategies to address it. Med Educ Online 2014;19
9. Cassady J. Cognitive test anxiety and academic performance. Contemp Educ Psychol 2002;27:270-295
10. Phillips AP. Reducing nursing students’ anxiety level and increasing retention of materials. J Nurs Educ 1988;27:35-41
11. Meseke C a, Nafziger R, Meseke JK. Student attitudes, satisfaction, and learning in a collaborative testing environment. J Chiropr Educ 2010;24:19-29
12. Meseke C A, Bovée ML, Gran DF. Impact of collaborative testing on student performance and satisfaction in a chiropractic science course. J Manipulative Physiol The 2009;32:309-314
13. Lusk M, Conklin L. Collaborative testing to promote learning. Journal of Nursing Education 2003;42:121-124
14. Rao SP, Collins HL, DiCarlo SE. Collaborative testing enhances student learning. Adv Physiol Educ 2002;26:37-41
15. Gallagher PA. Collaborative essay testing: group work that counts. Int J Nurs Educ Scholarsh 2009;6:1-11
16. Sandahl SS. Collaborative testing as a learning strategy in nursing education. Nurs Educ Perspect 2010;3:142-147
17. Haberyan A, Barnett J. Collaborative testing and acheivement: are two heads really better than one? J Instructional Psychol 2010;37:32-40
18. Breedlove W, Burkett T, Winfeild I. Collaborative testing and test anxiety. J Scholarsh Teach Learn 2004;4:33-42