2025
Assessing moral competence in medical and psychology students: effects on anxiety and test duration in online versus paper-based testing
ZIELINA, Martin; Tereza PINKASOVÁ; Daniel DOSTÁL; Kateřina IVANOVÁ; Martin MACHÁČEK et al.Basic information
Original name
Assessing moral competence in medical and psychology students: effects on anxiety and test duration in online versus paper-based testing
Authors
ZIELINA, Martin; Tereza PINKASOVÁ; Daniel DOSTÁL; Kateřina IVANOVÁ; Martin MACHÁČEK; Jaromír MATĚJEK; Barbora ŘEBÍKOVÁ; Jakub KUCHAŘ; Jaromir ŠKODA; Kristýna POSPÍŠILOVÁ; Romana MARKOVÁ VOLEJNÍČKOVÁ and Adam DOLEŽAL
Edition
BMC MEDICAL EDUCATION, 2025, 1472-6920
Other information
Language
English
Type of outcome
Article in a journal
Field of Study
50401 Sociology
Country of publisher
United Kingdom of Great Britain and Northern Ireland
Confidentiality degree
is not subject to a state or trade secret
References:
Impact factor
Impact factor: 3.200 in 2024
Marked to be transferred to RIV
Yes
Organization unit
Ambis University
UT WoS
EID Scopus
Keywords in English
Moral competence; Anxiety; Medical students; Psychology students; Online vs. paper-based testing
Tags
Changed: 30/3/2026 18:22, Ing. Kateřina Lendrová
Abstract
In the original language
Background: Moral competence and anxiety are essential factors in medical and psychology education, but evidence on how these variables interact across different testing conditions is limited. The present study examined whether moral competence differs between medical and psychology students, how it relates to anxiety levels, and whether test format and duration influence outcomes. Methods: A total of 717 students (620 medical, 97 psychology) completed the Moral Competence Test (MCT) and the State-Trait Anxiety Inventory (STAI). Participants were systematically (quasi-randomly) assigned to an online or paper-based version of the tests. Test duration was recorded in both formats. Group differences were analyzed using generalized linear models, with additional attention to the relationship between completion time and moral competence. Results: Psychology students scored higher in moral competence than medical students, while anxiety remained elevated among medical students. Female students reported significantly higher trait anxiety than male students. No significant differences were found between online and paper-based formats in moral competence or anxiety outcomes. Longer test duration was associated with higher moral competence among medical students, although this relationship was correlational and should be interpreted cautiously. Conclusions: Findings confirm that moral competence declines during medical education while anxiety persists at a higher level, particularly among female students. In contrast, psychology students demonstrated stable or higher moral competence. The absence of differences between online and paper-based formats suggests that both are suitable for assessing moral competence and anxiety in academic settings. The observed association between test duration and moral competence highlights a potential area for further research but should not be interpreted causally. © The Author(s) 2025.