TY - JOUR T1 - A NEW CHALLENGE IN DISTANCE EDUCATION: COGNITIVE TEST ANXIETY AND RELATED STUDENT EXPERIENCES TT - Uzaktan Eğitimde Yeni Mücadele: Bilişsel Sınav Kaygısı ve İlişkili Öğrenci Deneyimleri AU - Beycan Ekitli, Gizem AU - Gale, Gamze PY - 2025 DA - October Y2 - 2025 DO - 10.17753/sosekev.1619832 JF - EKEV Akademi Dergisi PB - Erzurum Kültür Eğitim Vakfı WT - DergiPark SN - 1301-6229 SP - 19 EP - 32 IS - 104 LA - en AB - Distance education offers significant opportunities for access and flexibility in education, especially with the integration of digital technologies and artificial intelligence applications that can provide more effective and personalized learning experiences. Research focusing on the cognitive dimension of test anxiety within the context of distance education is limited, and this study aims to contribute to the limited body of literature by offering student-centered recommendations to address gaps regarding educational program improvement and student well-being. A descriptive quantitative research design was employed. Data were collected online from 410 undergraduate students across medical, nursing, dentistry, and health sciences faculties. The primary data collection tools included an introductory sociodemographic information form and the Cognitive Test Anxiety Scale. Nonparametric tests were used for data analysis. The mean cognitive test anxiety score was 51.3±17.0, with notably higher levels of anxiety observed among dental students. Significant effects of academic expectations, concerns about evaluation methods, and satisfaction with distance education were found to influence anxiety levels (p KW - Distance education KW - Cognitive test anxiety KW - Health sciences KW - University students N2 - Uzaktan eğitim, eğitimde erişim ve esneklik sağlama açısından önemli bir fırsat sunmakta olup, özellikle dijital teknolojilerin ve yapay zekâ uygulamalarının entegrasyonu ile daha etkili ve kişiselleştirilmiş öğrenme deneyimleri sunulabilir. Uzaktan eğitim bağlamında sınav kaygısının bilişsel boyutuna odaklanan araştırmalar sınırlıdır ve bu araştırma eğitim programlarının iyileştirilmesi ve öğrenci iyi oluşuna yönelik literatürdeki boşluklara katkı sağlamak amacıyla öğrenci odaklı öneriler sunmayı hedeflemiştir. Tanımlayıcı tipteki araştırmanın verileri tıp, hemşirelik, diş hekimliği ve sağlık bilimleri fakültelerinden eğitimlerini sürdürmekte olan 410 lisans öğrencisinden toplanmıştır. Çevrimiçi araştırmada tanıtıcı sosyodemografik bilgiler formu ve Bilişsel Sınav Kaygısı Ölçeği kullanılmıştır. Verilerin analizinde parametrik olmayan anlamlılık testleri kullanılmıştır. Bilişsel sınav kaygısı puanı ortalama 51.3±17.0 olup özellikle diş hekimliği öğrencilerinde kaygı düzeylerinin daha yüksek olduğu görülmüştür. Akademik beklentiler, değerlendirilme yöntemlerine dair güvenlik endişeleri ve uzaktan eğitim memnuniyeti gibi etmenlerin sağlık bilimlerindeki öğrencilerde kaygı düzeylerinde anlamlı farklılık yaratabildiği bulunmuştur (p CR - Abbasi, M. S., Ahmed, N., Sajjad, B., Alshahrani, A., Saeed, S., Sarfaraz, S., Alhamdan, R. S., Vohra, F., & Abduljabbar, T. (2020). E-Learning perception and satisfaction among health sciences students amid the COVID-19 pandemic. Work (Reading, Mass.), 67(3), 549–556. https://doi.org/10.3233/WOR-203308 CR - Abualadas, H. M., & Xu, L. (2023). Achievement of learning outcomes in non-traditional (online) versus traditional (face-to-face) anatomy teaching in medical schools: A mixed method systematic review. Clinical Anatomy (New York, N.Y.), 36(1), 50–76. https://doi.org/10.1002/ca.23942 CR - Ahmad, B., & Khan, M. R. (2022). Assessing test anxiety in post-pandemic virtual english examinations: Students’ voices. FORTELL. CR - Ajmal, M., & Ahmad, S. (2019). Exploration of anxiety factors among students of distance learning: A case study of Allama Iqbal Open University. Bulletin of Education and Research, 41(2), 67–78. CR - Akar, H. (2018). Meta-analysis of organizational trust studies conducted in educational organizations between the years 2008-2018. International Journal of Educational Methodology, 4(4), 287–302. CR - Bozkurt, S., Ekitli, G. B., Thomas, C. L., & Cassady, J. C. (2017). Validation of the Turkish Version of the Cognitive Test Anxiety Scale–Revised. SAGE Open, 7(1), 215824401666954. https://doi.org/10.1177/2158244016669549 CR - Cambaz, H. Z., & Gülten, Ü. (2021). Does student’s cognitive flexibility decrease during pandemic? A new approach to measure cognitive flexibility. Journal of Cognitive Research in Science, Engineering and Education, 9(1), 13–22. CR - Cassady, J. C., & Finch, W. H. (2020). Revealing nuanced relationships among cognitive test anxiety, motivation, and self-regulation through curvilinear analyses. Frontiers in Psychology, 11, fpsyg.2020.01141. https://doi.org/10.3389/fpsyg.2020.01141 CR - Cassady, J. C., & Gridley, B. E. (2005). The effects of online formative and summative assessment on test anxiety and performance. The Journal of Technology, Learning and Assessment, 4(1). https://ejournals.bc.edu/index.php/jtla/article/view/1648 CR - Cassady, J. C., & Johnson, R. E. (2002). Cognitive test anxiety and academic performance. Contemporary Educational Psychology, 27(2), 270–295. https://doi.org/https://doi.org/10.1006/ceps.2001.1094 CR - Chancey, J. B., Heddy, B. C., Lippmann, M., & Abraham, E. (2023). Using an online-based mindfulness intervention to reduce test anxiety in physics students. Journal of Cognitive Enhancement, 7(1), 128–139. https://doi.org/10.1007/s41465-023-00261-2 CR - Comparcini, D., Tomietto, M., Cicolini, G., Dickens, G. L., Mthimunye, K., Marcelli, S., & Simonetti, V. (2022). Pre-registration nursing students’ anxiety and academic concerns after the second wave of COVID-19 pandemic in Italy: A cross-sectional study. Nurse Education Today, 118, 105520. https://doi.org/https://doi.org/10.1016/j.nedt.2022.105520 CR - Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage. CR - Dogan, M. E., Goru Dogan, T., & Bozkurt, A. (2023). The use of artificial intelligence (AI) in online learning and distance education processes: A systematic review of empirical studies. Applied Sciences, 13(5), 3056. https://www.mdpi.com/2076-3417/13/5/3056 CR - Elshami, W., Taha, M. H., Abuzaid, M., Saravanan, C., Al Kawas, S., & Abdalla, M. E. (2021). Satisfaction with online learning in the new normal: perspective of students and faculty at medical and health sciences colleges. Medical Education Online, 26(1), 1920090. https://doi.org/https://doi.org/10.1080/10872981.2021.1920090 CR - Eysenbach, G. (2012). Correction: improving the Quality of web surveys: the Checklist for Reporting results of internet E-Surveys (CHERRIES). Journal of Medical Internet Research, 14(1), e2042. CR - García-González, J., Ruqiong, W., Alarcon-Rodriguez, R., Requena-Mullor, M., Ding, C., & Ventura-Miranda, M. I. (2021). Analysis of anxiety levels of nursing students because of e-learning during the COVID-19 pandemic. Healthcare, 9(3), 252. https://doi.org/https://doi.org/10.3390/healthcare9030252 CR - He, L., Yang, N., Xu, L., Ping, F., Li, W., Sun, Q., Li, Y., Zhu, H., & Zhang, H. (2021). Synchronous distance education vs traditional education for health science students: A systematic review and meta-analysis. Medical Education, 55(3), 293–308. https://doi.org/10.1111/medu.14364 CR - Hembree, R. (1988). Correlates, causes, effects, and treatment of test anxiety. Review of Educational Research, 58(1), 47–77. https://doi.org/https://doi.org/10.2307/1170348 CR - Hjiej, G., El Idrissi, F. E., Janfi, T., Bouhabs, M., Hnaifi, H., Belakbyer, H., Gabri, M., Touissi, Y., Hajjioui, A., Bentata, Y., Abda, N., & Fourtassi, M. (2022). Distant education in Moroccan medical schools following COVID-19 outbreak at the early phase of lockdown: Were the students really engaged? Scientific African, 15. https://doi.org/10.1016/j.sciaf.2021.e01087 CR - Karadağ, E., & Yücel, C. (2020). Distance Education at Universities during the Novel Coronavirus Pandemic: An Analysis of Undergraduate Students’ Perceptions. Journal of Higher Education (Turkey), 10(2), 181–192. https://doi.org/doi:10.2399/yod.20.730688 CR - Kürtüncü, M., & Kurt, A. (2020). Problems of nursing students in distance education in the Covid-19 pandemia period. Eurasian Journal of Researches in Social and Economics, 7(5), 66–77. CR - Li, W., Gillies, R., He, M., Wu, C., Liu, S., Gong, Z., & Sun, H. (2021). Barriers and facilitators to online medical and nursing education during the COVID-19 pandemic: perspectives from international students from low-and middle-income countries and their teaching staff. Human Resources for Health, 19(1), 64. https://doi.org/https://doi.org/10.1186/s12960-021-00609-9 CR - Limna, P., Jakwatanatham, S., Siripipattanakul, S., Kaewpuang, P., & Sriboonruang, P. (2022). A review of artificial intelligence (AI) in education during the digital era. Advance Knowledge for Executives, 1(1), 1–9. CR - Mascret, N., Rey, O., Danthony, S., & Maïano, C. (2021). Relationship between perceived physical self-concept and grade in physical education: The mediating role of test anxiety. Psychology of Sport and Exercise, 56, 102016. https://doi.org/https://doi.org/10.1016/j.psychsport.2021.102016 CR - McCutcheon, K., Lohan, M., Traynor, M., & Martin, D. (2015). A systematic review evaluating the impact of online or blended learning vs. face-to-face learning of clinical skills in undergraduate nurse education. Journal of Advanced Nursing, 71(2), 255–270. https://doi.org/10.1111/jan.12509 CR - Möcklinghoff, S., Rapoport, O., Heckel, C., Messerschmidt-Grandi, C., & Ringeisen, T. (2023). Relationships between achievement goal orientations, multidimensional test anxiety, and performance – In conclusion, every facet counts. Learning and Individual Differences, 102, 102269. https://doi.org/https://doi.org/10.1016/j.lindif.2023.102269 CR - Núñez-Peña, M. I., & Bono, R. (2019). Academic anxieties: which type contributes the most to low achievement in methodological courses? Educational Psychology, 39(6), 797–814. https://doi.org/10.1080/01443410.2019.1582756 CR - Oducado, R. M., & Estoque, H. (2021). Online learning in nursing education during the COVID-19 pandemic: Stress, satisfaction, and academic performance. Journal of Nursing Practice, 4(2), 143–153. https://doi.org/https://doi.org/10.30994/jnp.v4i2.128 CR - Ong, C.-S., & Lai, J.-Y. (2006). Gender differences in perceptions and relationships among dominants of e-learning acceptance. Computers in Human Behavior, 22(5), 816–829. CR - Poorman, S. G., Mastorovich, M. L., Molcan, K. L., & Webb, C. A. (2009). Decreasing performance and test anxiety in practicing nurses. Journal for Nurses in Staff Development, 25(1), 13–22. https://doi.org/10.1097/NND.0b013e318194b4d7 CR - Rehab, T. (2021). Effects of Test Anxiety, Distance Education on General Anxiety and Life Satisfaction of University Students. Psycho-Educational Research Reviews, 10(1), 107–117. CR - Roick, J., Poethke, P., & Richter, M. (2023). Learners’ characteristics and the mastery of digital education during the COVID-19 pandemic in students of a medical faculty in Germany. BMC Medical Education, 23(1), 86. https://doi.org/10.1186/s12909-023-04012-x CR - Roos, A.-L., Goetz, T., Krannich, M., Jarrell, A., Donker, M., & Mainhard, T. (2021). Test anxiety components: an intra-individual approach testing their control antecedents and effects on performance. Anxiety, Stress, & Coping, 34(3), 279–298. CR - Sahin, C. U., & Baz, A. N. S. (2021). Views and anxiety levels of university students regarding distance education during the Covid-19 Pandemic. Journal of Higher Education (Turkey), 11(3), 617–624. https://doi.org/10.2399/yod.20.019000 CR - Schwarzer, R. (1984). Worry and emotionality as separate components in test anxiety. Applied Psychology, 33(2), 205–220. https://doi.org/10.1111/j.1464-0597.1984.tb01429.x CR - Stojanovic, G., Vasiljevic-Blagojevic, M., Stankovic, B., Terzic, N., Terzic-Markovic, D., & Stojanovic, D. (2018). Test anxiety in pre-exam period and success of nursing students. Serbian Journal of Experimental and Clinical Research, 19(2), 167–174. https://doi.org/10.1515/SJECR-2017-0060 CR - Stowell, J. R., & Bennett, D. (2010). Effects of online testing on student exam performance and test anxiety. Journal of Educational Computing Research, 42(2), 161–171. CR - Tabatabaeichehr, M., Babaei, S., Dartomi, M., Alesheikh, P., Tabatabaee, A., Mortazavi, H., & Khoshgoftar, Z. (2022). Medical students’ satisfaction level with e-learning during the COVID-19 pandemic and its related factors: a systematic review. Journal of Educational Evaluation for Health Professions, 19, 37. https://doi.org/10.3352/jeehp.2022.19.37 CR - Thomas, C. L., Cassady, J. C., & Finch, W. H. (2018). Identifying Severity Standards on the Cognitive Test Anxiety Scale: Cut Score Determination Using Latent Class and Cluster Analysis. Journal of Psychoeducational Assessment, 36(5), 492–508. https://doi.org/10.1177/0734282916686004 CR - Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Bulletin of the World Health Organization, 85, 867–872. https://iris.who.int/bitstream/handle/10665/269867/PMC2636253.pdf CR - Woldeab, D., & Brothen, T. (2019). 21st Century assessment: Online proctoring, test anxiety, and student performance. International Journal of E-Learning & Distance Education, 34(1). https://www.ijede.ca/index.php/jde/article/view/1106 UR - https://doi.org/10.17753/sosekev.1619832 L1 - https://dergipark.org.tr/tr/download/article-file/4520774 ER -