Effects of Laughter Yoga Practiced by Nursing Students Before Clinical Practice

Study Overview
=================
Brief Summary
-----------------
Aim: We conducted this randomized controlled study to determine the effect of laughter yoga practiced by first year nursing students before clinical practice on their perceptions of stress and meaning of life. Background: Laughter yoga has a positive effect on the person's mental/general health, life satisfaction and psychological well-being and enables the person to cope with stress. Design: In this experimental randomized and controlled study including a control group, we administered a pre-test, post-test one and post-test two to the participating students. Methods: We conducted the study with 45 first year nursing students in the intervention group, and 45 first year nursing students in the control group. The students in the intervention group took part in eight sessions of laughter yoga for four weeks, twice a week. We used the Descriptive Information Form, Perceived Stress Scale, and Meaning and Purpose of Life Scale to collect the study data.

Official Title
-----------------
Effects of Laughter Yoga Practiced by First Year Nursing Students Before Clinical Practice on Their Perceptions of Stress and Meaning of Life: A Randomized Controlled Trial

Conditions
-----------------
Healthy, Laughter, Stress

Intervention / Treatment
-----------------
* Other: Laughter therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Who did not have any diagnosed psychiatric diseases, Who had not done laughter yoga and / or did not have any clinical experience previously were included Exclusion Criteria: Who withdrew from the study at any stage, Those who did not participate in the yoga sessions regularly Those who used another relaxation method during this period, Those who took antidepressants, Those who had a chronic cough and / or urinary incontinence, Those who underwent surgery in the last 3 months (abdominal surgery, uncontrolled surgery, glaucoma, hernia), Those who had neurological diseases such as epilepsy, multiple sclerosis, Those who were unwilling to participate in the study, Those who had neurological disorders, Those who lost one of their loved ones in the last 6 months were excluded from the research.
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br> | |
| Experimental: Intervention<br> | Other: Laughter therapy<br>* We used laughter yoga to investigate the potential effects on first year nursing students' whose in the preclinical period of education.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Meaning and Purpose of Life | Meaning of life of students was assessed with 17 items Meaning and Purpose of Life Scale. The options for the positive statements are scored as follows: strongly agree (5), agree (4), undecided (3), disagree (2), and strongly disagree (1). The negative statements are reverse scored. The options for the negative statements are scored as follows: strongly agree (1), agree (2), undecided (3), disagree (4) and strongly disagree (5).While the lowest possible score that can be obtained from the scale is 17, the highest possible score is 85. A high score indicates that the person's perception of the meaning and purpose of life is more positive whereas a low score indicates the person's perception of the meaning and purpose of life is more negative | four weeks | 
| Stress | Stress of students was assessed with Perceived Stress Scale. Responses given to the items are rated on a 5-point Likert-type scale ranging from 0 to 4 (0- Never, 1-Almost Never, 2-Sometimes, 3-Quite often, 4-Very Often). Items 4, 5, 7 and 8 containing positive statements are reverse scored. The minimum and maximum scores that can be obtained from the PSS are 0 and 40, respectively. The higher the score is the higher the level of stress is. | four weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Laughter therapy, Nursing, Students