Comparison of Group Transdiagnostic Treatment (Unified Protocol) in Face-to-Face and Online Formats on Emotion Regulation, Experiential Avoidance, Social Adjustment, and Resilience in Students with Test Anxiety.

The study aims to compare the effectiveness of both face-to-face and online transdiagnostic group therapy on test anxiety in students, focusing on emotion regulation, experiential avoidance, social adjustment, and resilience.

This clinical trial has a control group, with parallel groups, double-blind, and randomized, conducted on 60 female students in grades 10 to 12 in the city of Zanjan. Web-based randomization was used to ensure a fair distribution of participants in the treatment and control groups.

This study is a double-blind clinical trial conducted in Zanjan city among female high school students in grades 10 to 12. After obtaining the necessary approvals and randomly selecting schools, 60 students with moderate to severe test anxiety are divided into three groups: in-person treatment, online treatment, and control. Data collectors and outcome assessors remain unaware of group assignments to maintain objectivity and accuracy of the results.

Inclusion Criteria Age: 15 to 18 years Moderate to severe test anxiety No severe psychiatric disorders No psychotherapy received in the past year Stability of effective medications (if applicable) Exclusion Criteria Absence from more than two consecutive sessions Lack of satisfaction with treatment Worsening of individual problems Non-participation in assessment stages

Face-to-Face Transdiagnostic Treatment Group: In-person sessions focus on managing exam anxiety and enhancing emotional skills using the UP protocol. Online Transdiagnostic Treatment Group: Similar content delivered via Google Meet. Control Group: Participants receive no intervention during the study period.

reduce test anxiety and experiential avoidance ,Improving emotion regulation skills, Increasing social adjustment and resilience in students

This study is a parallel-group, double-blind, randomized controlled trial, targeting female students in grades 10 to 12 in Zanjan City. In this section, we will provide a detailed explanation of the randomization process using web-based randomization. 1. Randomization Method •Cluster Randomization Method: Initially, two districts of Zanjan City will be randomly selected through cluster sampling. Subsequently, two schools will be chosen from the existing schools in these districts via a lottery system. This selection will be conducted in a manner that ensures all schools in these districts have an equal chance of being chosen. 2. Randomization Units •Randomization Units: In this study, the randomization units are the students who will be allocated to different treatment groups. After distributing the Sarason and Spielberger Anxiety Questionnaire, 60 students with moderate (scores 13 to 20) and severe (score 20) test anxiety will be randomly selected. 3. Stratified Randomization •Stratified Randomization: Stratified randomization will not be employed in this study. However, if necessary, we could create various strata based on characteristics such as anxiety levels or age. 4. Randomization Tool •Web-Based Randomization: To generate the random sequence, web-based randomization will be utilized. This tool allows for the production of random numbers and the random assignment of individuals to different groups online, ensuring transparency. This method helps reduce bias in allocation and ensures that each participant is randomly assigned to one of the treatment groups. 5. Random Sequence Generation •Random Sequence: After the final selection of 60 participants, these individuals will be randomly divided into three treatment groups using web-based randomization: the online integrative diagnostic treatment group, the in-person integrative diagnostic treatment group, and the waitlist control group. 6. Allocation Concealment •Allocation Concealment: To ensure that there is no influence on the allocation of participants to groups, the information regarding group assignments will be kept concealed from both the researchers and the treatment group members. This will be achieved through web-based randomization, and the information about group assignments will only be accessible after the allocation process is completed

Blinding of Data Collectors Individuals responsible for data collection will remain unaware of the group assignments. This ensures that the data collection process is conducted without bias. Blinding of Outcome Assessors Those evaluating the results of the study will also be blind to the group assignments. This is crucial for maintaining objectivity in the assessment of outcomes.