The Effect of Online Laughter Yoga Combined With Psychoeducation on Perceived Stress and Career Anxiety Among Nursing StudentsNCT07785713
Effects of Online Laughter Yoga and Psychoeducation on Perceived Stress and Career Anxiety in Nursing Students
A study testing Laughter Yoga Programme and Psychoeducational Programme in people with The Effect of Online Laughter Yoga Combined With Psychoeducation on Perceived Stress and Career Anxiety Among Nursing Students, run by Okan University at 1 site in Turkey (Türkiye).
Trial summary
.This randomized controlled study evaluated the effects of online laughter yoga and a structured psychoeducational program on perceived stress and career anxiety among nursing students undertaking clinical placements. The study employed a three-arm, randomized, controlled pre-test-post-test design. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- The Effect of Online Laughter Yoga Combined With Psychoeducation on Perceived Stress and Career Anxiety Among Nursing Students
- What is being tested?
- Laughter Yoga Programme and Psychoeducational Programme
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 18 May 2026to 10 Jul 2026
- Phase
- Interventional
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
- Be a student on the nursing programme
- Be aged 18 or over
- Agree to participate in the study on a voluntary basis
- Have internet access and a suitable device (mobile phone/computer) to take part in the online sessions
- Complete the data collection tools in full
Who cannot join
- Failure to attend sessions regularly during the study
- Filling in data collection forms incompletely or incorrectly
- Being in another psychoeducation or stress reduction program at the same time
- Having a psychiatric diagnosis and being actively receiving treatment
- Wishing to withdraw from the research during the study period
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Online Laughter Yoga and Psychoeducation on Perceived Stress and Career Anxiety in Nursing Students: A Three-Arm Randomized Controlled Trial
.This randomized controlled study evaluated the effects of online laughter yoga and a structured psychoeducational program on perceived stress and career anxiety among nursing students undertaking clinical placements.
The study employed a three-arm, randomized, controlled pre-test-post-test design. A total of 60 nursing students were randomized in a 1:1:1 ratio to the laughter yoga, psychoeducation, or control group, with 20 participants in each group. Both active interventions were delivered online twice weekly for four weeks.
Read more
Data were collected using a Sociodemographic Information Form, the Perceived Stress Scale, and the Short Form of the Adult Career Concerns Scale. Changes in perceived stress and career anxiety over time were evaluated across the three study groups. The primary statistical analysis used a linear mixed-effects model, with supplementary analyses including mixed-effects analysis of variance, post-hoc comparisons, and analysis of covariance.
Keywords: laughter yoga, psychoeducation, psychiatric nursing, nursing students
- Being tested
- Laughter Yoga Programme, Psychoeducational Programme
- Keywords
- laughter yoga, psychoeducation, psychiatric nursing, nursing students
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Laughter Yoga ProgrammeBehavioural
The programme began with an introductory session and basic techniques, followed by intermediate-level laughter exercises, energy-boosting activities, group interaction and emotional release exercises; it concluded with consolidation and closing sessions. The content consisted of a combination of deep yoga breathing exercises and unconditional (unprompted) laughter techniques.
Psychoeducational ProgrammeBehavioural
A structured psychoeducational programme delivered online over 4 weeks, comprising 2 sessions per week (8 sessions in total, 40-60 minutes per session), covering the topics of stress, coping strategies, emotion regulation and career awareness.
| Study group | Role | What they receive |
|---|---|---|
| Laughter Yoga | Experimental | Participants took part in an online (via Google Meet) laughter yoga programme comprising a total of 8 sessions, held twice a week over a period of 4 weeks. Each session lasted 30-40 minutes; the programme began with an introduction and basic techniques, continued with intermediate-level exercises, energy-boosting activities, group interaction and emotional release exercises, and concluded with consolidation and closing sessions. The content included breathing exercises and structured laughter techniques. Receives: Behavioral: Laughter Yoga Programme |
| Psychoeducation | Experimental | Participants took part in a structured online psychoeducation programme (via Google Meet) comprising a total of 8 sessions over 4 weeks, at a rate of 2 sessions per week. Each session lasted 40-60 minutes; the programme covered the concepts of stress, coping strategies, emotion regulation and career awareness. Receives: Behavioral: Psychoeducational Programme |
| Control group | No intervention | The control group continued with their routine training and clinical practice without receiving any additional intervention during the study period. For ethical reasons, they were also offered the intervention programme on a voluntary basis once the study had been completed. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Perceived Stress Scale
The Perceived Stress Scale is a 10-item scale assessing perceived stress during the previous month. Each item is scored from 0 to 4, resulting in a total score ranging from 0 to 40. Higher scores indicate higher levels of perceived stress.
Measured: Baseline and 4 weeks after the start of the intervention
Secondary outcomes (1)
Adult Career Anxiety Scale - Short Form
A 9-item scale assessing career anxiety across four subdimensions: Exploration, Establishment, Maintenance, and Disengagement. The total score ranges from 9 to 45, with higher scores indicating higher levels of career anxiety.
Measured: Baseline (pre-test) and at the end of the 4-week intervention (post-test)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Aug 2026
- Study start18 May 2026
- Primary completion12 Jun 2026
- Study completion10 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for The Effect of Online Laughter Yoga Combined With Psychoeducation on Perceived Stress and Career Anxiety Among Nursing StudentsStudies of the same condition, open and under way.
- 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
- Model description
- Participants were randomly assigned via computer-generated block randomization to three parallel groups (Laughter Yoga, Psychoeducation, Control) in a 1:1:1 ratio, with each group receiving its intervention concurrently.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Okan University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Raife Aşık, Okan University
- Investigators
- Raife 1 Aşık, 1, Principal investigator, Okan UniversityRaife AŞIK, 1, Principal investigator, Okan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07785713
- Sponsor's protocol ID
- 203
- Status last verified
- Aug 2026
- First submitted
- 14 Aug 2026
- Last updated
- 25 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The individual participant data collected in this study will not be shared in order to protect participant confidentiality. The data are reported solely at the level of the summary/aggregated statistics presented in the published article.
Publications
Şahin, S., Özaydın, S., & Siyez, D. M. (2019). Yetişkin Kariyer Endişeleri Ölçeği Kısa Formu: Türkçeye uyarlama, geçerlik ve güvenilirlik çalışması. Kariyer Psikolojik Danışmanlığı Dergisi, 2(2), 166-193.
Perrone, K.M., Gordon, P.A., Fitch, J.C. and Civiletto, C.L. (2003), the adult career concerns inventory: Development of a short form. Journal of Employment Counseling, 40: 172-180. https://doi.org/10.1002/j.2161-1920.2003.tb00868.x
Kaya C, Tansey TN, Melekoglu M, Cakiroglu O, Chan F. Psychometric evaluation of Turkish version of the Perceived Stress Scale with Turkish college students. J Ment Health. 2019 Apr;28(2):161-167. doi: 10.1080/09638237.2017.1417566. Epub 2017 Dec 20.
PubMed 29260926Kaya KC, Ozkan CG, Agis D. Effects of laughter yoga practiced by the first year nursing students before clinical practice on their perceptions of stress and meaning of life: a randomized controlled trial. BMC Nurs. 2025 Jan 11;24(1):41. doi: 10.1186/s12912-024-02642-0.
PubMed 39799345Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
PubMed 6668417