Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences
Emergence of coronavirus disease 2019 (COVID-19) forced the worldwide higher educational institutes to adopt distance learning mode. Further, remote electronic exams (E−exams) were considered as mode of assessment. Objectives: This cross-sectional study evaluated the students' experience of rem...
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| Veröffentlicht in: | Annals of medicine and surgery 2020-12, Vol.60, p.271-279 |
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| creator | Elsalem, Lina Al-Azzam, Nosayba Jum'ah, Ahmad A. Obeidat, Nail Sindiani, Amer Mahmoud Kheirallah, Khalid A. |
| description | Emergence of coronavirus disease 2019 (COVID-19) forced the worldwide higher educational institutes to adopt distance learning mode. Further, remote electronic exams (E−exams) were considered as mode of assessment. Objectives: This cross-sectional study evaluated the students' experience of remote E-exams during the COVID-19 pandemic among Medical Sciences students in Jordan. Materials and Methods: A survey of 29 questions was prepared on Google forms and distributed among students at Faculties of Medical Sciences (Medicine, Dentistry, Pharmacy, Nursing and Applied Medical Sciences) at Jordan University of Science and Technology. The questions include students' demographics, stress experience, and factors contributing to stress as well as behavioral changes related to remote E-exams. Responses were analyzed using descriptive, cross tabulation and Chi-square tests. Results: Among 1019 respondents, 32% reported more stress with remote E-exams. This was associated with academic major and gender. Among students with more stress during remote E-exams, the exam duration, mode of questions navigation and technical problems (exam platform and internet connectivity) appeared as the main factors related to stress in 78%, 76% and >60%, respectively. Other factors include concern regarding the teaching methods, exam environment and students' dishonesty. Remote E-exams had negative impact on students' dietary habits (increase consumption of caffeine and high energy drinks, high sugar food, fast food), sleep (reduction in sleeping hours, more consumption of insomnia medications), physical activity (less exercises) and smoking habits (increase). Conclusion: Results suggested a negative impact of E-exams on students within Medical Faculties. Robust exam platform and remote mock E-exams are recommended to reduce students' potential stress. A stress-free environment is very essential to encourage students to adopt remote E-exams, particularly if the pandemic will take longer. Various awareness programs about students' habits related to dietary, sleep quality, physical activity and smoking are highly valuable for students’ health benefits. This is of particular importance since the current students at Faculties of Medical Sciences are the future health care providers.
•Remote E-exams are more stressful in one third of students from faculties of medical sciences.•Exam duration, mode of questions navigation and technical problems are major causes for students stress with remot |
| doi_str_mv | 10.1016/j.amsu.2020.10.058 |
| format | Article |
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•Remote E-exams are more stressful in one third of students from faculties of medical sciences.•Exam duration, mode of questions navigation and technical problems are major causes for students stress with remote E-exams.•Remote E-exam experience has negative impact on students' habits related to diet, sleep, physical activity and smoking.</description><identifier>ISSN: 2049-0801</identifier><identifier>EISSN: 2049-0801</identifier><identifier>DOI: 10.1016/j.amsu.2020.10.058</identifier><identifier>PMID: 33163179</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Behavioral changes ; Covid-19 ; Cross-sectional Study ; Higher education ; Medical sciences ; Remote E-exams ; Stress</subject><ispartof>Annals of medicine and surgery, 2020-12, Vol.60, p.271-279</ispartof><rights>2020 The Authors</rights><rights>2020 The Authors.</rights><rights>2020 The Authors 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-e12a9c946c234d4666d5c94b33d2b63e3bffe5a949547e3026358fb1367a28e43</citedby><cites>FETCH-LOGICAL-c455t-e12a9c946c234d4666d5c94b33d2b63e3bffe5a949547e3026358fb1367a28e43</cites><orcidid>0000-0003-4504-4472 ; 0000-0002-7780-6016 ; 0000-0002-3814-4865 ; 0000-0001-5115-7372</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604013/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604013/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33163179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elsalem, Lina</creatorcontrib><creatorcontrib>Al-Azzam, Nosayba</creatorcontrib><creatorcontrib>Jum'ah, Ahmad A.</creatorcontrib><creatorcontrib>Obeidat, Nail</creatorcontrib><creatorcontrib>Sindiani, Amer Mahmoud</creatorcontrib><creatorcontrib>Kheirallah, Khalid A.</creatorcontrib><title>Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences</title><title>Annals of medicine and surgery</title><addtitle>Ann Med Surg (Lond)</addtitle><description>Emergence of coronavirus disease 2019 (COVID-19) forced the worldwide higher educational institutes to adopt distance learning mode. Further, remote electronic exams (E−exams) were considered as mode of assessment. Objectives: This cross-sectional study evaluated the students' experience of remote E-exams during the COVID-19 pandemic among Medical Sciences students in Jordan. Materials and Methods: A survey of 29 questions was prepared on Google forms and distributed among students at Faculties of Medical Sciences (Medicine, Dentistry, Pharmacy, Nursing and Applied Medical Sciences) at Jordan University of Science and Technology. The questions include students' demographics, stress experience, and factors contributing to stress as well as behavioral changes related to remote E-exams. Responses were analyzed using descriptive, cross tabulation and Chi-square tests. Results: Among 1019 respondents, 32% reported more stress with remote E-exams. This was associated with academic major and gender. Among students with more stress during remote E-exams, the exam duration, mode of questions navigation and technical problems (exam platform and internet connectivity) appeared as the main factors related to stress in 78%, 76% and >60%, respectively. Other factors include concern regarding the teaching methods, exam environment and students' dishonesty. Remote E-exams had negative impact on students' dietary habits (increase consumption of caffeine and high energy drinks, high sugar food, fast food), sleep (reduction in sleeping hours, more consumption of insomnia medications), physical activity (less exercises) and smoking habits (increase). Conclusion: Results suggested a negative impact of E-exams on students within Medical Faculties. Robust exam platform and remote mock E-exams are recommended to reduce students' potential stress. A stress-free environment is very essential to encourage students to adopt remote E-exams, particularly if the pandemic will take longer. Various awareness programs about students' habits related to dietary, sleep quality, physical activity and smoking are highly valuable for students’ health benefits. This is of particular importance since the current students at Faculties of Medical Sciences are the future health care providers.
•Remote E-exams are more stressful in one third of students from faculties of medical sciences.•Exam duration, mode of questions navigation and technical problems are major causes for students stress with remote E-exams.•Remote E-exam experience has negative impact on students' habits related to diet, sleep, physical activity and smoking.</description><subject>Behavioral changes</subject><subject>Covid-19</subject><subject>Cross-sectional Study</subject><subject>Higher education</subject><subject>Medical sciences</subject><subject>Remote E-exams</subject><subject>Stress</subject><issn>2049-0801</issn><issn>2049-0801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9UU1v1DAUtBCIVqV_gAPykUu2_k6CEFK1KgWpEgfgbDn2y8arTbzYzpb-C34yDrtU5cLJ9vPMvPdmEHpNyYoSqq62KzOmecUIWworIptn6JwR0VakIfT5k_sZukxpSwihRHKlmpfojHOqOK3bc_Tra46QEjaTwx0M5uBDNDtsBzNtIOF7nwccYQwZ8E0FP0tP7Obopw3OA-B1OHhX0RbvCx9Gb9_ha2xjSKlKYLMPU9FKeXYP2IyhkOYCi5to3GxykQ89HsF5u6Csh8lCeoVe9GaX4PJ0XqDvH2--rT9Vd19uP6-v7yorpMwVUGZa2wplGRdOKKWcLM-Oc8c6xYF3fQ_StKKVogZOmOKy6TvKVW1YA4JfoA9H3f3clRksTLksrvfRjyY-6GC8_vdn8oPehIOuFRGE8iLw9iQQw48ZUtajTxZ2OzNBmJNmQjatok1TFyg7Qv9YE6F_bEOJXtLUW72kqZc0l1pJs5DePB3wkfI3uwJ4fwRAsengIeqTh87HYr52wf9P_zcbS7OA</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Elsalem, Lina</creator><creator>Al-Azzam, Nosayba</creator><creator>Jum'ah, Ahmad A.</creator><creator>Obeidat, Nail</creator><creator>Sindiani, Amer Mahmoud</creator><creator>Kheirallah, Khalid A.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4504-4472</orcidid><orcidid>https://orcid.org/0000-0002-7780-6016</orcidid><orcidid>https://orcid.org/0000-0002-3814-4865</orcidid><orcidid>https://orcid.org/0000-0001-5115-7372</orcidid></search><sort><creationdate>20201201</creationdate><title>Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences</title><author>Elsalem, Lina ; Al-Azzam, Nosayba ; Jum'ah, Ahmad A. ; Obeidat, Nail ; Sindiani, Amer Mahmoud ; Kheirallah, Khalid A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-e12a9c946c234d4666d5c94b33d2b63e3bffe5a949547e3026358fb1367a28e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Behavioral changes</topic><topic>Covid-19</topic><topic>Cross-sectional Study</topic><topic>Higher education</topic><topic>Medical sciences</topic><topic>Remote E-exams</topic><topic>Stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elsalem, Lina</creatorcontrib><creatorcontrib>Al-Azzam, Nosayba</creatorcontrib><creatorcontrib>Jum'ah, Ahmad A.</creatorcontrib><creatorcontrib>Obeidat, Nail</creatorcontrib><creatorcontrib>Sindiani, Amer Mahmoud</creatorcontrib><creatorcontrib>Kheirallah, Khalid A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of medicine and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elsalem, Lina</au><au>Al-Azzam, Nosayba</au><au>Jum'ah, Ahmad A.</au><au>Obeidat, Nail</au><au>Sindiani, Amer Mahmoud</au><au>Kheirallah, Khalid A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences</atitle><jtitle>Annals of medicine and surgery</jtitle><addtitle>Ann Med Surg (Lond)</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>60</volume><spage>271</spage><epage>279</epage><pages>271-279</pages><issn>2049-0801</issn><eissn>2049-0801</eissn><abstract>Emergence of coronavirus disease 2019 (COVID-19) forced the worldwide higher educational institutes to adopt distance learning mode. Further, remote electronic exams (E−exams) were considered as mode of assessment. Objectives: This cross-sectional study evaluated the students' experience of remote E-exams during the COVID-19 pandemic among Medical Sciences students in Jordan. Materials and Methods: A survey of 29 questions was prepared on Google forms and distributed among students at Faculties of Medical Sciences (Medicine, Dentistry, Pharmacy, Nursing and Applied Medical Sciences) at Jordan University of Science and Technology. The questions include students' demographics, stress experience, and factors contributing to stress as well as behavioral changes related to remote E-exams. Responses were analyzed using descriptive, cross tabulation and Chi-square tests. Results: Among 1019 respondents, 32% reported more stress with remote E-exams. This was associated with academic major and gender. Among students with more stress during remote E-exams, the exam duration, mode of questions navigation and technical problems (exam platform and internet connectivity) appeared as the main factors related to stress in 78%, 76% and >60%, respectively. Other factors include concern regarding the teaching methods, exam environment and students' dishonesty. Remote E-exams had negative impact on students' dietary habits (increase consumption of caffeine and high energy drinks, high sugar food, fast food), sleep (reduction in sleeping hours, more consumption of insomnia medications), physical activity (less exercises) and smoking habits (increase). Conclusion: Results suggested a negative impact of E-exams on students within Medical Faculties. Robust exam platform and remote mock E-exams are recommended to reduce students' potential stress. A stress-free environment is very essential to encourage students to adopt remote E-exams, particularly if the pandemic will take longer. Various awareness programs about students' habits related to dietary, sleep quality, physical activity and smoking are highly valuable for students’ health benefits. This is of particular importance since the current students at Faculties of Medical Sciences are the future health care providers.
•Remote E-exams are more stressful in one third of students from faculties of medical sciences.•Exam duration, mode of questions navigation and technical problems are major causes for students stress with remote E-exams.•Remote E-exam experience has negative impact on students' habits related to diet, sleep, physical activity and smoking.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>33163179</pmid><doi>10.1016/j.amsu.2020.10.058</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4504-4472</orcidid><orcidid>https://orcid.org/0000-0002-7780-6016</orcidid><orcidid>https://orcid.org/0000-0002-3814-4865</orcidid><orcidid>https://orcid.org/0000-0001-5115-7372</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Behavioral changes Covid-19 Cross-sectional Study Higher education Medical sciences Remote E-exams Stress |
| title | Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences |
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