Laughter YogaNCT05301244
The Effect of Laughter Yoga on Nurses Psychological Resilience and Sleep Quality During the Pandemic Period
A study testing laughter yoga for nurses, laughter yoga for nurses-Deep breathing exercises and laughter yoga for nurses-Warm-up exercises in people with Laughter Yoga, run by Ataturk University at 1 site in Turkey (Türkiye).
Trial summary
This study aimed to determine the effects of laughter yoga on the psychological resilience and sleep quality of active nurses during the pandemic period. Initial stage of labor on randomized controlled birth outcomes and maternal satisfaction. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Laughter Yoga
- What is being tested?
- laughter yoga for nurses, laughter yoga for nurses-Deep breathing exercises and laughter yoga for nurses-Warm-up exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 24 Jun 2021to 31 Aug 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
- Not have undergone abdominal surgery in the past three months
- Not have uncontrolled hypertension
- Not have epilepsy
- Not have received a psychiatric diagnosis or treatment
- Working actively during the pandemic period
Who cannot join
- Not attending sessions regularly
Trial locations and contacts
1 site in 1 country.
About this study
This study aimed to determine the effects of laughter yoga on the psychological resilience and sleep quality of active nurses during the pandemic period. Initial stage of labor on randomized controlled birth outcomes and maternal satisfaction. A total of 100 nurses, determined by power analysis, were recruited into the randomized controlled, single-blind clinical study. The study included 2 groups (group A nurses who had active contact with patients diagnosed with or at risk of covid-19, group B: nurses who had active contact with patients diagnosed or at risk of covid-19 and participated in laughter yoga practice. Laughter yoga; immune system It has been proven by experimental studies that there is a connection between antibodies and endorphins, that it has a healing effect, that it accelerates the circulatory system as an adverse effect to stress, and that it has a vasodilation effect in the vessels.
Read the detailed description
The study data were collected by the researchers using online systems with the snowball method due to the pandemic. The inclusion criteria of the study (not having undergone abdominal surgery in the last three months, not having uncontrolled hypertension, not having glaucoma, hernia, epilepsy, not having received a psychiatric diagnosis-treatment, not having received a diagnosis-treatment for sleep problems, having done laughter yoga before) The study consisted of 100 nurses who agreed to participate in the study. Descriptive features form consisting of 13 questions, Connor-Davidson Resilience Scale (CD-RISC) scale and Pittsburgh Sleep Quality Index (PSQI) were used to collect data. Research data were collected in 3 months. During the study, 4 people from the experimental group (3 people did not attend the sessions regularly, 1 person left voluntarily), 6 people from the control group (he left voluntarily) quit the study. Finally, the research was completed with 90 nurses, 46 of which were in the experimental group and 44 in the control group.
- Conditions
- Laughter Yoga
- Being tested
- laughter yoga for nurses, laughter yoga for nurses-Deep breathing exercises, laughter yoga for nurses-Warm-up exercises, laughter yoga for nurses-Childish games, laughter yoga for nurses-Laughter exercises
- Keywords
- Nurse, laughter yoga
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
laughter yoga for nursesOther
The experimental group was divided into three groups as 17-17-16 people. For four weeks, laughter yoga sessions were held between 20.00 and 21.00, 2 days a week for each group. Laughter yoga sessions were held for the 1st group between 20.00-21.00 on Mondays and Thursdays, for the 2nd group between 20.00-21.00 on Tuesdays and Fridays, and for the 3rd group between 20.00-21.00 on Wednesdays and Sundays. The first sessions lasted 45 minutes, every other session 40 minutes.
laughter yoga for nurses-Deep breathing exercisesOther
Deep breathing exercises (5 minutes) Breathing is held for 4-5 seconds after deep inspiration. While the arms are brought to the normal position, exhale slowly and rhythmically. When expressing after deep inspiration, the lips can be pursed as if whistling or exhaled with laughter.
laughter yoga for nurses-Warm-up exercisesOther
Warm-up exercises (10 minutes) Rhythm of 1-2, 1-2-3 is added to increase the energy level even more and synchronize the movements of the group. After a few rhythmic clapping movements, another movement is added. Whisking hands left and right. Then an audible rhythm of ho, ho, ha-ha-ha is added to the clapping gesture. Make eye contact with people in the group and smile at them.
laughter yoga for nurses-Childish gamesOther
Childish games (10 minutes) Childlike games are used to help laugh without reason just like a child. The group is motivated by visualizing these games in their minds, raising the arms up in the form of a "Y" letter, and saying "very good (applause), very good (applause), hey" with palms facing the sky.
laughter yoga for nurses-Laughter exercisesOther
Laughter exercises (15 minutes) This section includes a variety of laughter exercises such as greetings, strawberry milk, conductor, bonus, hot soup, lion, aloha, bird, appreciation, laughter lotion, elevator, cream cake, and bursting balloon laughter.
| Study group | Role | What they receive |
|---|---|---|
| laughter yoga practice | Experimental | Laughter yoga practiced by a researcher with a laughter yoga practitioner certificate Receives: Other: laughter yoga for nurses; Other: laughter yoga for nurses-Deep breathing exercises; Other: laughter yoga for nurses-Warm-up exercises; Other: laughter yoga for nurses-Childish games; Other: laughter yoga for nurses-Laughter exercises |
| Laughter yoga session parts-1 | Experimental | Deep breathing exercises (5 minutes) Receives: Other: laughter yoga for nurses; Other: laughter yoga for nurses-Deep breathing exercises; Other: laughter yoga for nurses-Warm-up exercises; Other: laughter yoga for nurses-Childish games; Other: laughter yoga for nurses-Laughter exercises |
| Laughter yoga session parts-2 | Experimental | Warm-up exercises (10 minutes) Receives: Other: laughter yoga for nurses; Other: laughter yoga for nurses-Deep breathing exercises; Other: laughter yoga for nurses-Warm-up exercises; Other: laughter yoga for nurses-Childish games; Other: laughter yoga for nurses-Laughter exercises |
| Laughter yoga session parts-3 | Experimental | Childish games (10 minutes) Receives: Other: laughter yoga for nurses; Other: laughter yoga for nurses-Deep breathing exercises; Other: laughter yoga for nurses-Warm-up exercises; Other: laughter yoga for nurses-Childish games; Other: laughter yoga for nurses-Laughter exercises |
| Laughter yoga session parts-4 | Experimental | Laughter exercises (15 minutes) Receives: Other: laughter yoga for nurses; Other: laughter yoga for nurses-Deep breathing exercises; Other: laughter yoga for nurses-Warm-up exercises; Other: laughter yoga for nurses-Childish games; Other: laughter yoga for nurses-Laughter exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Introductory Information Form (questionnaire)
The form prepared by the researchers consists of a total of 13 questions, including some demographic characteristics (age, education level, marital status, etc.) and professional characteristics (working years, frequently worked shifts, clinic/unit worked during the epidemic period, etc.) of the nurses.
Measured: up to 2 weeks
Connor-Davidson Resilience Scale (CD-RISC)-pre-test
The scale consists of 25 items and has a 5-point Likert type scoring ranging from 'never true' (0) to 'always true' (4). Scale; It consists of three sub-dimensions, namely perseverance and personal competence, tolerance to negative phenomena, and spiritual inclination, and the total score to be taken from the scale is minimum 0 and maximum 100 points. High scores obtained from the scale indicate high levels of psychological resilience. According to the factor structure, perseverance and personal competence with items 1, 5, 10, 11, 12, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25; Resilience levels can be determined by examining tolerance to negative events with items 4, 6, 7, 8, 13, 14, and moral tendency with items 2, 3, 9, 20. The Cronbach's alpha coefficient of the scale was stated as 0.89. In this study, the Cronbach's alpha coefficient of the scale was calculated as 0.92.
Measured: up to 5 weeks
Pittsburgh Sleep Quality Index (PSQI)-pre-test
In the form consisting of a total of 24 questions, scores of 7 components are obtained. PSQI; It consists of seven sub-components that evaluate subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping pills, and dysfunction during the day. The response of each is scored between 0-3 according to symptom frequency. The sum of the scores of the seven components gives the total PSQI score. The total score obtained varies between 0-21, and high values indicate poor sleep quality and high sleep disturbance level. A total score of 6 or above indicates that the sleep quality is clinically significantly worse. The Cronbach Alpha internal consistency coefficient of the scale was found to be 0.80. In this study, the Cronbach's alpha coefficient of the PSQI Scale was calculated as 0.83.
Measured: up to 5 weeks
Secondary outcomes (2)
Connor-Davidson Resilience Scale (CD-RISC)-post-application testing
The scale consists of 25 items and has a 5-point Likert type scoring ranging from 'never true' (0) to 'always true' (4). Scale; It consists of three sub-dimensions, namely perseverance and personal competence, tolerance to negative phenomena, and spiritual inclination, and the total score to be taken from the scale is minimum 0 and maximum 100 points. High scores obtained from the scale indicate high levels of psychological resilience. According to the factor structure, perseverance and personal competence with items 1, 5, 10, 11, 12, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25; Resilience levels can be determined by examining tolerance to negative events with items 4, 6, 7, 8, 13, 14, and moral tendency with items 2, 3, 9, 20. The Cronbach's alpha coefficient of the scale was stated as 0.89. In this study, the Cronbach's alpha coefficient of the scale was calculated as 0.92.
Measured: up to 5 weeks
Pittsburgh Sleep Quality Index (PSQI)-post-application testing
n the form consisting of a total of 24 questions, scores of 7 components are obtained. PSQI; It consists of seven sub-components that evaluate subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping pills, and dysfunction during the day. The response of each is scored between 0-3 according to symptom frequency. The sum of the scores of the seven components gives the total PSQI score. The total score obtained varies between 0-21, and high values indicate poor sleep quality and high sleep disturbance level. A total score of 6 or above indicates that the sleep quality is clinically significantly worse. The Cronbach Alpha internal consistency coefficient of the scale was found to be 0.80. In this study, the Cronbach's alpha coefficient of the PSQI Scale was calculated as 0.83.
Measured: up to 5 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Mar 2022
- Study start24 Jun 2021
- Primary completion15 Aug 2021
- Study completion31 Aug 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Laughter YogaStudies of the same condition, open and under way.
- More trials run by Ataturk UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ataturk University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Suheyla YARALI, Ataturk University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05301244
- Sponsor's protocol ID
- suheylasy
- Status last verified
- Mar 2022
- First submitted
- 18 Mar 2022
- Last updated
- 6 Apr 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Laughter Yoga on Nurses Psychological Resilience and Sleep Quality During the Pandemic Period
- ClinicalTrials.gov ID
- NCT05301244
- Acronym / sponsor ID
- suheylasy
- Conditions
- Laughter Yoga
- Keywords
- Nurse, laughter yoga
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Ataturk UniversityUniversity, hospital or other
- Study start
- 24 Jun 2021 (actual)
- Primary completion
- 15 Aug 2021 (actual)
- Study completion
- 31 Aug 2021 (actual)
- First posted
- 29 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aimed to determine the effects of laughter yoga on the psychological resilience and sleep quality of active nurses during the pandemic period. Initial stage of labor on randomized controlled birth outcomes and maternal satisfaction. A total of 100 nurses, determined by power analysis, were recruited into the randomized controlled, single-blind clinical study. The study included 2 groups (group A nurses who had active contact with patients diagnosed with or at risk of covid-19, group B: nurses who had active contact with patients diagnosed or at risk of covid-19 and participated in laughter yoga practice. Laughter yoga; immune system It has been proven by experimental studies that there is a connection between antibodies and endorphins, that it has a healing effect, that it accelerates the circulatory system as an adverse effect to stress, and that it has a vasodilation effect in the vessels.
Detailed description
The study data were collected by the researchers using online systems with the snowball method due to the pandemic. The inclusion criteria of the study (not having undergone abdominal surgery in the last three months, not having uncontrolled hypertension, not having glaucoma, hernia, epilepsy, not having received a psychiatric diagnosis-treatment, not having received a diagnosis-treatment for sleep problems, having done laughter yoga before) The study consisted of 100 nurses who agreed to participate in the study. Descriptive features form consisting of 13 questions, Connor-Davidson Resilience Scale (CD-RISC) scale and Pittsburgh Sleep Quality Index (PSQI) were used to collect data. Research data were collected in 3 months. During the study, 4 people from the experimental group (3 people did not attend the sessions regularly, 1 person left voluntarily), 6 people from the control group (he left voluntarily) quit the study. Finally, the research was completed with 90 nurses, 46 of which were in the experimental group and 44 in the control group.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| laughter yoga practice | Experimental | Other: laughter yoga for nurses, Other: laughter yoga for nurses-Deep breathing exercises, Other: laughter yoga for nurses-Warm-up exercises, Other: laughter yoga for nurses-Childish games, Other: laughter yoga for nurses-Laughter exercisesLaughter yoga practiced by a researcher with a laughter yoga practitioner certificate |
| Laughter yoga session parts-1 | Experimental | Other: laughter yoga for nurses, Other: laughter yoga for nurses-Deep breathing exercises, Other: laughter yoga for nurses-Warm-up exercises, Other: laughter yoga for nurses-Childish games, Other: laughter yoga for nurses-Laughter exercisesDeep breathing exercises (5 minutes) |
| Laughter yoga session parts-2 | Experimental | Other: laughter yoga for nurses, Other: laughter yoga for nurses-Deep breathing exercises, Other: laughter yoga for nurses-Warm-up exercises, Other: laughter yoga for nurses-Childish games, Other: laughter yoga for nurses-Laughter exercisesWarm-up exercises (10 minutes) |
| Laughter yoga session parts-3 | Experimental | Other: laughter yoga for nurses, Other: laughter yoga for nurses-Deep breathing exercises, Other: laughter yoga for nurses-Warm-up exercises, Other: laughter yoga for nurses-Childish games, Other: laughter yoga for nurses-Laughter exercisesChildish games (10 minutes) |
| Laughter yoga session parts-4 | Experimental | Other: laughter yoga for nurses, Other: laughter yoga for nurses-Deep breathing exercises, Other: laughter yoga for nurses-Warm-up exercises, Other: laughter yoga for nurses-Childish games, Other: laughter yoga for nurses-Laughter exercisesLaughter exercises (15 minutes) |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Not have undergone abdominal surgery in the past three months
- Not have uncontrolled hypertension
- Not have epilepsy
- Not have received a psychiatric diagnosis or treatment
- Working actively during the pandemic period
Key exclusion criteria (1 listed)
- Not attending sessions regularly
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| laughter yoga for nursesThe experimental group was divided into three groups as 17-17-16 people. For four weeks, laughter yoga sessions were held between 20.00 and 21.00, 2 days a week for each group. Laughter yoga sessions were held for the 1st group between 20.00-21.00 on Mondays and Thursdays, for the 2nd group between 20.00-21.00 on Tuesdays and Fridays, and for the 3rd group between 20.00-21.00 on Wednesdays and Sundays. The first sessions lasted 45 minutes, every other session 40 minutes. | Other | Laughter yoga session parts-1, Laughter yoga session parts-2, Laughter yoga session parts-3, Laughter yoga session parts-4, laughter yoga practice |
| laughter yoga for nurses-Deep breathing exercisesDeep breathing exercises (5 minutes) Breathing is held for 4-5 seconds after deep inspiration. While the arms are brought to the normal position, exhale slowly and rhythmically. When expressing after deep inspiration, the lips can be pursed as if whistling or exhaled with laughter. | Other | Laughter yoga session parts-1, Laughter yoga session parts-2, Laughter yoga session parts-3, Laughter yoga session parts-4, laughter yoga practice |
| laughter yoga for nurses-Warm-up exercisesWarm-up exercises (10 minutes) Rhythm of 1-2, 1-2-3 is added to increase the energy level even more and synchronize the movements of the group. After a few rhythmic clapping movements, another movement is added. Whisking hands left and right. Then an audible rhythm of ho, ho, ha-ha-ha is added to the clapping gesture. Make eye contact with people in the group and smile at them. | Other | Laughter yoga session parts-1, Laughter yoga session parts-2, Laughter yoga session parts-3, Laughter yoga session parts-4, laughter yoga practice |
| laughter yoga for nurses-Childish gamesChildish games (10 minutes) Childlike games are used to help laugh without reason just like a child. The group is motivated by visualizing these games in their minds, raising the arms up in the form of a "Y" letter, and saying "very good (applause), very good (applause), hey" with palms facing the sky. | Other | Laughter yoga session parts-1, Laughter yoga session parts-2, Laughter yoga session parts-3, Laughter yoga session parts-4, laughter yoga practice |
| laughter yoga for nurses-Laughter exercisesLaughter exercises (15 minutes) This section includes a variety of laughter exercises such as greetings, strawberry milk, conductor, bonus, hot soup, lion, aloha, bird, appreciation, laughter lotion, elevator, cream cake, and bursting balloon laughter. | Other | Laughter yoga session parts-1, Laughter yoga session parts-2, Laughter yoga session parts-3, Laughter yoga session parts-4, laughter yoga practice |
Primary outcome
Introductory Information Form (questionnaire)
Time frame: up to 2 weeks
The form prepared by the researchers consists of a total of 13 questions, including some demographic characteristics (age, education level, marital status, etc.) and professional characteristics (working years, frequently worked shifts, clinic/unit worked during the epidemic period, etc.) of the nurses.
Connor-Davidson Resilience Scale (CD-RISC)-pre-test
Time frame: up to 5 weeks
The scale consists of 25 items and has a 5-point Likert type scoring ranging from 'never true' (0) to 'always true' (4). Scale; It consists of three sub-dimensions, namely perseverance and personal competence, tolerance to negative phenomena, and spiritual inclination, and the total score to be taken from the scale is minimum 0 and maximum 100 points. High scores obtained from the scale indicate high levels of psychological resilience. According to the factor structure, perseverance and personal competence with items 1, 5, 10, 11, 12, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25; Resilience levels can be determined by examining tolerance to negative events with items 4, 6, 7, 8, 13, 14, and moral tendency with items 2, 3, 9, 20. The Cronbach's alpha coefficient of the scale was stated as 0.89. In this study, the Cronbach's alpha coefficient of the scale was calculated as 0.92.
Pittsburgh Sleep Quality Index (PSQI)-pre-test
Time frame: up to 5 weeks
In the form consisting of a total of 24 questions, scores of 7 components are obtained. PSQI; It consists of seven sub-components that evaluate subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping pills, and dysfunction during the day. The response of each is scored between 0-3 according to symptom frequency. The sum of the scores of the seven components gives the total PSQI score. The total score obtained varies between 0-21, and high values indicate poor sleep quality and high sleep disturbance level. A total score of 6 or above indicates that the sleep quality is clinically significantly worse. The Cronbach Alpha internal consistency coefficient of the scale was found to be 0.80. In this study, the Cronbach's alpha coefficient of the PSQI Scale was calculated as 0.83.
2 secondary outcomes
Connor-Davidson Resilience Scale (CD-RISC)-post-application testing
Time frame: up to 5 weeks
Pittsburgh Sleep Quality Index (PSQI)-post-application testing
Time frame: up to 5 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Apr 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing laughter yoga for nurses, laughter yoga for nurses-Deep breathing exercises and laughter yoga for nurses-Warm-up exercises in people with Laughter Yoga, run by Ataturk University at 1 site in Turkey (Türkiye).
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 5 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: finished, as of the sponsor's last update on 6 Apr 2022. 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 Turkey (Türkiye). 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Introductory Information Form (questionnaire) (time frame: up to 2 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Apr 2022.