Effect of Laughter Yoga on Nursing Students

Study Overview
=================
Brief Summary
-----------------
Nursing students experience different levels of stress due to many reasons such as lifestyle, health, academic performance, competition, choice of profession, new living environment, relationships with peer group and expectations of parents. It is important to develop different coping behaviours/strategies to manage stressful situations. Laughter yoga has proven positive effects on physical and mental health. The aim of this randomised controlled trial was to examine the effects of laughter yoga on well-being, perceived stress and academic self-efficacy of nursing students.

Detailed Description
-----------------
Laughter yoga, which is a combination of laughter and yoga with breathing techniques, is among traditional and complementary medicine practices. Based on the view that the brain cannot distinguish between real and unreal laughter, laughter yoga aims to benefit from the mental and physical benefits of laughter. Laughter yoga has benefits such as reducing stress and depression symptoms, relaxing muscle tone, increasing blood circulation, lowering blood pressure, increasing melatonin and growth hormone release, increasing pain threshold, strengthening the immune system. Laughter yoga will be applied to the intervention group in 6 sessions (45 minutes each session). Well-being, Perceived Stress and Academic Self-Efficacy levels of the students will be evaluated before and after the intervention. Hypotheses of the study; H1: The well-being level of the intervention group increases after laughter yoga. H2: The academic self-efficacy level of the intervention group increases after laughter yoga. H3: Perceived stress level of the intervention group decreases after laughter yoga. H4: The well-being level of the intervention group after laughter yoga is higher than the control group. H5: The perceived stress level of the intervention group after laughter yoga is lower than the control group. H6: The academic self-efficacy level of the intervention group after laughter yoga is higher than the control group.

Official Title
-----------------
The Effect of Laughter Yoga on Nursing Students' Well-Being, Perceived Stress and Academic Self-Efficacy: A Randomised Controlled Study

Conditions
-----------------
Laughter, Stress, Well-Being, Psychological

Intervention / Treatment
-----------------
* Other: Laugther Yoga


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: To be a 4th year nursing student, Volunteer to participate Exclusion Criteria: To take part in the intern programme, Simultaneous participation in any methods of complementary medicine, Having undergone surgery within the last three months, Having a diagnosis of hernia (hernia) Having a diagnosis of epilepsy Uncontrolled diabetes and cardiovascular disease

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
All

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

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

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Laughter yoga group<br>Laughter yoga will be applied to the intervention group in 6 sessions (45 minutes each session). Laughter yoga consists of four parts. Firstly, it starts with warm-up exercises including hand clapping (applause), singing ho ho ha ha to relax the facial muscles of the participants and body movements. Secondly, the lungs are prepared with breathing exercises and the mind is prepared for laughter with childish games. This is followed by laughter exercises. Deep breathing exercises are performed between laughter exercises. Laughter yoga is concluded with clapping, singing and relaxation exercises. | Other: Laugther Yoga<br>* Laughter yoga will be applied to the intervention group in 6 sessions (45 minutes each session).<br>|
| No Intervention: Control group<br>No laughter yoga intervention will be applied to the control group. | |

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Well being | The WHO-5 well-being Scale point of the intervention group change laughter yoga. | 2 weeks post intervention | 
| Academic self-efficcay | The academic self-efficacy point of the intervention group change after laughter yoga. | 2 weeks post intervention | 
| Stress | The perceived stress scale point of the intervention group change after laughter yoga. | 2 weeks post intervention | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
academic self efficacy, laughter yoga, undergraudate nursing education, well-being, stress