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AzTrials

Examination PhobiaNCT07817459

Dogs Offering Guidance: Therapeutic Observation for Reducing Examination Anxiety (DOGTOR).

A study testing Canine Group in people with Examination Phobia, run by La Trobe University at 1 site in Australia.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Physiotherapists work closely with patients to assess, diagnose and treat a variety of conditions. Thus, it is essential that education should assess these key competencies through both written examinations (to measure cognitive understanding) and practical examinations (to measure clinical skills). Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Examination Phobia
What is being tested?
Canine Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteAustralia
Study dates
1 Nov 2025to Nov 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Students enrolled in subject PTY5015 (Preparation for Clinical Practice) in the La Trobe University Physiotherapy Graduate Entry Masters program only.

Who cannot join

  • Anyone not enrolled in PTY5015

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Australia1 site, 1 recruiting
  • La Trobe University

    Bundoora, Victoria, 3086

    Mary Duffy, MA, 61 3 94791204, mary.duffy@latrobe.edu.au

    Arushka D'Souza, PhD

    Recruiting

Other trials in Australia

About this study

Official title: Dogs Offering Guidance: Therapeutic Observation for Reducing Examination Anxiety (DOGTOR). A Pilot Feasibility Study

Physiotherapists work closely with patients to assess, diagnose and treat a variety of conditions. Thus, it is essential that education should assess these key competencies through both written examinations (to measure cognitive understanding) and practical examinations (to measure clinical skills). Practical examinations have been found to require more preparation and have been reported to be more anxiety-inducing than other forms of examination. One possible strategy to assist with reducing examination stress for students is canine interaction. In the inpatient hospital setting, animal-assisted therapy has found to be a safe and useful option for managing stress. Within the university setting, canine interaction has been shown to improve mood, affect, well-being and reduce stress. However, most of the previous work in this area did not investigate canine-intervention during exams. This study will utilise a randomised-controlled trial design to measure the impact of canine interaction immediately prior to practical examinations on perceived and physiological stress and determine if canine interaction impacts examination scores.

Read the detailed description

Physiotherapy education should prepare graduates to become physiotherapists who work closely with patients to effectively assess, diagnose and treat a variety of conditions. Thus, it is essential that physiotherapy education should also include evaluation that assesses these key skills and competencies. This could be through both written examinations (to measure cognitive skills) and practical exams, such as Objective Structured Clinical Examinations (OSCEs), where students are required to apply their practical knowledge in a standardised, simulated environment. Practical exams usually include a student, a mock patient, a limited time in which a particular skill should be demonstrated and an assessor that provides a score of the student's performance. They are designed to determine whether a student has achieved a threshold of competence that will ideally ensure effective and safe practice in a real-world environment. Most students and assessors endorse practical examinations as a valuable form of feedback.

Despite their potential benefits, like other forms of examination, practical exams are a source of anxiety and stress for many students. Key sources of such exam stress include fear of failing (particularly in front of peers or assessors and "losing face"), not being able to retrieve knowledge under pressure, running out of time and inability to interpret the exam question. Practical exams require more preparation and have been reported to be more anxiety-inducing than other forms of examination, such as written exams. Examination stress is associated low self-esteem, anxiety, depression and poor sleep quality. While some exam-related stress can heighten exam performance, too much or too little stress can impact examination validity by impairing performance of actual ability. Therefore, in the interest of both student and assessor, it is imperative to reduce examination stress where possible so that student performance is better reflection of their actual skills and or competence.

One possible strategy to assist with reducing examination stress for students is canine interaction. In the inpatient hospital setting, animal-assisted therapy has found to be a safe and useful option for managing stress and has demonstrated greater stress reduction than other stress relieving methods such as reading, biofeedback and mindfulness. Within a university setting, canine interaction has been shown to improve mood, affect, well-being, reduce anxiety and stress. However, most of these studies did not investigate canine-intervention during an examination period, and of those which did, canine-intervention was performed some time before (from 60 minutes to two weeks), which allows time for additional stressors to influence findings. To date, there are no randomised studies that have been conducted specifically in physiotherapy students immediately before an OSCE. Therefore, the aims of this study are to (1) measure the impact of canine interaction immediately prior to a practical examination on perceived and physiological stress and (2) to determine if canine interaction impacts examination scores. Understanding the impact of canine interaction in this setting may provide a novel and relatively low-cost strategy to minimise examination stress immediately before an OSCE and boost grades.

Being tested
Canine Group

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Canine GroupBehavioural

    In a quiet room with a dog and dog handler, students will be able to freely interact with the dog prior to commencing their examinations. Both groups, intervention or control, participants will have their blood pressure (BP) and heart rate (HR) measured by a member of the research team and complete a short questionnaire (details below). The intervention/control will occur 10 minutes prior to the participant's allocated examination slot. Following their examination, participants will have their BP and HR measured by a member of the research team and be asked to rate their stress on a visual analogue scale again. Participants who received the intervention will be asked to report their interaction types with the dog and invited to participate in a focus group to discuss their experience in the trial.

Study groups in NCT07817459
Study groupRoleWhat they receive
Canine GroupExperimentalexamination. During this time, they will be in a quiet room with the dog and a dog-handler. Participants will be instructed that they can freely interact with the dog (for example, observe, pat, hold, talk with the dog, play with the dog toys) within the room. The dog handler will observe and only interact if required to assist with participant or dog safety. The dog is a former Seeing Eye Dog in training who has been introduced to the students and will be re-familiarised with them prior to the trial by attending classes during this term.
Receives: Behavioral: Canine Group
Control groupNo interventionStudents placed in the control group will have a quiet room to sit in for 10 minutes immediately prior to their examination.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Blood Pressure measurement

    All participants will enter a holding room prior to their examination. Within 30 minutes of the intervention or control, participants will have their blood pressure (BP) measured by a member of the research team . The intervention/control will occur 10 minutes prior to the participant's allocated examination slot. Following the intervention/control, the participant will have their BP measured by a member of the research team and be asked to rate their stress on a visual analogue scale. They will then complete their examination which will last 30 minutes. Following their examination, participants will have their BP measure again by a member of the research team.

    Measured: 30 minutes prior to practical exam, immediately prior to the practical examination and five minutes after the examination

  2. Completion of Stress Visual Analog Scale (SVAS)

    Immediate perceived stress will be measured using the SVAS at Timepoints 1, 2 and 3. This scale ranges from 0 to 9, where 0 is "no stress" and 9 is "most severe imaginable". Visual Analog scales are widely used self-reported measures with acceptable validity and reliability in health outcomes such as pain, anxiety, feelings and mood. This scale has widely been used to measure the effect of canine-intervention in other studies. It will be self-administered via a RED Cap survey

    Measured: 30 minutes prior to the practical examination; immediately prior to commencing the examination, 5 minutes after the examination

  3. Perceived Stress Scale (PSS-10)

    The PSS-10 is a 10-item scale where participants self-appraise their life stress over the past one month, with options ranging from "never" (zero) to "very often" (four). It has been found to be valid and reliable in students and will be collected prior to the examination. It will be self-administered via a REDCap survey.

    Measured: Immediately prior to the examination

  4. Heart Rate

    All participants will enter a holding room prior to their examination. Within 30 minutes of the intervention or control, participants will have their heart rate (HR) measured by a member of the research team . The intervention/control will occur 10 minutes prior to the participant's allocated examination slot. Following the intervention/control, the participant will have their HR measured by a member of the research team and be asked to rate their stress on a visual analogue scale. They will then complete their examination which will last 30 minutes. Following their examination, participants will have their HR measured by a member of the research team.

    Measured: Time Frame: 30 minutes prior to practical exam, immediately prior to the practical examination and five minutes after the examination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Sep 2026
  2. Study start1 Nov 2025
  3. Primary completionNov 2027 (estimated)
  4. Study completionNov 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Students in the canine group will have a 10-minute exposure immediately before their examination. During this time, they will be in a quiet room with the dog and a dog-handler. Participants will be instructed that they can freely interact with the dog (for example, observe, pat, hold, talk with the dog, play with the dog toys) within the room. The dog handler will observe and only interact if required to assist with participant or dog safety. The dog is a former Seeing Eye Dog in training who has been introduced to the students and will be re-familiarised with them prior to the trial by attending classes during this term. Students in the control group will have a quiet room to sit in for 10 minutes immediately before their examination. All participants will have their blood pressure and heart rate measured before and after the examination and will be asked to complete a short questionnaire and asked to rate their stress on a visual analouge scale.
Masking
Single blind
Who is masked
Investigator
Enrolment
22 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07817459
Sponsor's protocol ID
HEC25361
Status last verified
Aug 2026
First submitted
11 May 2026
Last updated
14 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Zunhammer M, Eichhammer P, Busch V. Sleep quality during exam stress: the role of alcohol, caffeine and nicotine. PLoS One. 2014 Oct 3;9(10):e109490. doi: 10.1371/journal.pone.0109490. eCollection 2014.

    PubMed 25279939
  • Zhang N, Walton DM. Why So Stressed? A Descriptive Thematic Analysis of Physical Therapy Students' Descriptions of Causes of Anxiety during Objective Structured Clinical Exams. Physiother Can. 2018 Fall;70(4):356-362. doi: 10.3138/ptc.2016-102.e.

    PubMed 30745721
  • Zhang N, Henderson CN. Test anxiety and academic performance in chiropractic students. J Chiropr Educ. 2014 Spring;28(1):2-8. doi: 10.7899/JCE-13-20. Epub 2013 Dec 18.

    PubMed 24350946
  • Ward-Griffin E, Klaiber P, Collins HK, Owens RL, Coren S, Chen FS. Petting away pre-exam stress: The effect of therapy dog sessions on student well-being. Stress Health. 2018 Aug;34(3):468-473. doi: 10.1002/smi.2804. Epub 2018 Mar 12.

    PubMed 29528189
  • Walker C. The Impact of Therapy Dogs on Prelicensure Baccalaureate Nursing Student Test Anxiety. Nurs Educ Perspect. 2023 Mar-Apr 01;44(2):98-104. doi: 10.1097/01.NEP.0000000000001042. Epub 2022 Aug 31.

    PubMed 36731074
  • Peel N, Nguyen K, Tannous C. The Impact of Campus-Based Therapy Dogs on the Mood and Affect of University Students. Int J Environ Res Public Health. 2023 Mar 8;20(6):4759. doi: 10.3390/ijerph20064759.

    PubMed 36981667
  • Thelwell ELR. Paws for Thought: A Controlled Study Investigating the Benefits of Interacting with a House-Trained Dog on University Students Mood and Anxiety. Animals (Basel). 2019 Oct 21;9(10):846. doi: 10.3390/ani9100846.

    PubMed 31640244
  • Machova K, Prochazkova R, Vadronova M, Souckova M, Prouzova E. Effect of Dog Presence on Stress Levels in Students under Psychological Strain: A Pilot Study. Int J Environ Res Public Health. 2020 Mar 28;17(7):2286. doi: 10.3390/ijerph17072286.

    PubMed 32231132
  • Haleem DJ, Inam QU, Haider S, Perveen T, Haleem MA. Serum leptin and cortisol, related to acutely perceived academic examination stress and performance in female university students. Appl Psychophysiol Biofeedback. 2015 Dec;40(4):305-12. doi: 10.1007/s10484-015-9301-1.

    PubMed 26187200
  • Grajfoner D, Harte E, Potter LM, McGuigan N. The Effect of Dog-Assisted Intervention on Student Well-Being, Mood, and Anxiety. Int J Environ Res Public Health. 2017 May 5;14(5):483. doi: 10.3390/ijerph14050483.

    PubMed 28475132
  • Brand HS, Schoonheim-Klein M. Is the OSCE more stressful? Examination anxiety and its consequences in different assessment methods in dental education. Eur J Dent Educ. 2009 Aug;13(3):147-53. doi: 10.1111/j.1600-0579.2008.00554.x.

    PubMed 19630933
  • Anderson D, Brown S. The effect of animal-assisted therapy on nursing student anxiety: A randomized control study. Nurse Educ Pract. 2021 Mar;52:103042. doi: 10.1016/j.nepr.2021.103042. Epub 2021 Mar 27.

    PubMed 33839594

Questions about this trial

What is this clinical trial studying?

A study testing Canine Group in people with Examination Phobia, run by La Trobe University at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Mary Duffy, MA (6103094791204, mary.duffy@latrobe.edu.au), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Blood Pressure measurement (time frame: 30 minutes prior to practical exam, immediately prior to the practical examination and five minutes after the examination). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07817459, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2026.

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