The Effect of Group-Based Laughter Yoga on Midwifery Students

Study Overview
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Brief Summary
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This study was planned to determine the effect of laughter yoga on the secondary traumatic stress and depression levels experienced by midwifery students due to the use of social media after the earthquake. The universe of the research will be the third year students of Health Sciences University Hamidiye Health Sciences Faculty Midwifery Department (N:84). A total of 8 sessions of laughter yoga, 2 sessions per week, will be applied to midwifery students in the intervention group of the research. It will be determined as intervention (n:42) and control (n:42) groups. Descriptive Information Form, Secondary Traumatic Stress Scale for Social Media Users and Beck Depression Inventory will be applied to both groups.

Detailed Description
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It was planned to determine the effect of laughter yoga on the secondary traumatic stress and depression levels experienced by midwifery students due to the use of social media after the earthquake. The study will be implemented according to the CONSORT 2010 guidelines. The research will be carried out in Health Sciences University, Hamidiye Faculty of Health Sciences, Midwifery department classroom. In pre-research classrooms; An environment with good lighting, sound systems and allowing individuals to move comfortably will be arranged. Hamidiye Faculty of Health Sciences Midwifery Department 3rd year students who volunteered to participate in the study will be determined as the intervention (n:42) and control (n:42) groups with the numbers assigned by the researchers via the https://www.randomizer.org/ site. An introductory information form will be applied to all students. A total of 8 sessions of laughter yoga, 2 sessions per week, will be applied to midwifery students in the intervention group of the research. Laughter yoga will be practiced by researchers with leadership certification. Each session will take an average of 45 minutes. Each session will consist of groups of 7 people. Before starting the laughter yoga session, an information meeting will be held with midwifery students who volunteered to participate in the study and were assigned to the intervention group. Midwifery students will be administered Secondary Traumatic Stress Scale for Social Media Users and Beck Depression Inventory before and 4-6 weeks after the application. No intervention will be applied to the control group midwives, and Secondary Traumatic Stress Scale for Social Media Users and Beck Depression Inventory will be administered again when they are included in the study and 4-6 weeks later.

Official Title
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The Effect of Group-Based Laughter Yoga on the Level of Secondary Traumatic Stress and Depression Experienced by Midwifery Students After the Earthquake

Conditions
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Laughter Yoga

Intervention / Treatment
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* Other: Group-based laughter yoga


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being an active student in the 3rd year of Health Sciences University, Hamidiye Faculty of Health Sciences, Department of Midwifery Volunteering to participate in research Exclusion Criteria: Having a psychiatric diagnosis

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Single blind randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group (n:42)<br>Laughter yoga will be practiced to students in the intervention group | Other: Group-based laughter yoga<br>* A total of 8 sessions of laughter yoga will be applied to the students in the intervention group, 2 sessions per week. Each session will last 45 minutes on average. Each session will consist of groups of 7 people. An information meeting about the sessions will be held with the midwifery students who volunteered to participate in the study and assigned to the intervention group before starting laughter yoga. Midwifery students will be administered Secondary Traumatic Stress Scale for Social Media Users and Beck Depression Inventory before and after 4-6 weeks.<br>|
| No Intervention: Control Group (n:42)<br>No intervention will be applied to the control group midwives and Secondary Traumatic Stress Scale for Social Media Users and Beck Depression Inventory will be applied when they are included in the study and again after 4-6 weeks. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Introductory Information Form | In this form, which was created by the researchers based on the literature, participants' age, high school they graduated from, secondary traumatic stress experience, etc. questions are included. | 1 hour before laughter yoga practice | 
| Beck Depression Inventory (BDI) | The scale designed to determine the depressive levels of individuals consists of 21 items. The aim of the inventory is not to diagnose depression but to express the degree of depressive symptoms numerically. Higher scores indicate an increase in depressive symptoms. Each item receives a score between 0-3 and the scores that can be obtained from the inventory are between 0-63. The scores of 0-9 points indicate normal, 10-18 points indicate mild, 19-29 points indicate moderate, and 30-63 points indicate severe depressive symptoms. | 1 hour before laughter yoga practice | 
| Secondary Traumatic Stress Scale for Social Media Users | The scale was developed to examine avoidance and arousal symptoms associated with indirect exposure to traumatic experiences through social media users. The scale consists of 17 items. The scale was reduced to a single-factor structure. There are no reverse coded items. The lowest score that can be obtained from the scale is 17 and the highest score is 85. As the total score obtained from the scale increases, individuals' secondary traumatic stress caused by social media increases. | 1 hour before laughter yoga practice | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Beck Depression Inventory (BDI) | The scale designed to determine the depressive levels of individuals consists of 21 items. The aim of the inventory is not to diagnose depression but to express the degree of depressive symptoms numerically. Higher scores indicate an increase in depressive symptoms. Each item receives a score between 0-3 and the scores that can be obtained from the inventory are between 0-63. The scores of 0-9 points indicate normal, 10-18 points indicate mild, 19-29 points indicate moderate, and 30-63 points indicate severe depressive symptoms. | 4-6 weeks after application | 
| Secondary Traumatic Stress Scale for Social Media Users | The scale was developed to examine avoidance and arousal symptoms associated with indirect exposure to traumatic experiences through social media users. The scale consists of 17 items. The scale was reduced to a single-factor structure. There are no reverse coded items. The lowest score that can be obtained from the scale is 17 and the highest score is 85. As the total score obtained from the scale increases, individuals' secondary traumatic stress caused by social media increases. | 4-6 weeks after application | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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secondary trauma, depression, midwifery student, earthquake