The Effect of Laughter Yoga Applied to Nursing Students o... | NCT06943430

Studies
The Effect of Laughter Yoga Applied to Nursing Students on Exam Anxiety and Spirituality

NCT06943430

Sponsor

Kırıkkale University

Status

Active, not recruiting

Last Update Posted

Dec 3, 2025Actual

Enrollment

36Actual

Phase

Not Applicable

Conditions

Exam Stress
Anxiety
Spirituality

Interventions

laughter yoga

Countries

Turkey (Türkiye)

Protocol Section

Identification Module Status Module Sponsor/Collaborators Module Oversight Module Description Module Conditions Module Design Module Arms/Interventions Module Outcomes Module Eligibility Module Contacts/Locations Module References Module IPD Sharing Statement Module

Results Section

Participant Flow Module Baseline Characteristics Module Outcome Measures Module Adverse Events Module More Info Module

Annotation Section

Annotation Module

Document Section

Large Document Module

Derived Section

Miscellaneous Info Module Condition Browse Module Intervention Browse Module

Protocol Section

Identification Module

NCT ID

Results Section

No data available

No data is available for this block.

Annotation Section

No data available

No data is available for this block.

Document Section

No data available

No data is available for this block.

Derived Section

Miscellaneous Info Module

Version Holder

Status Module

Record Verification Date

Nov 2025

Overall Recruitment Status or Expanded Access Status

Active, not recruiting

Last Known Status

Not provided

Delayed Posting

Not provided

Why Stopped

Not provided

Expanded Access Info

Start Date

Feb 24, 2025Actual

Primary Completion Date

Apr 27, 2026Estimated

Completion Date

Apr 27, 2026Estimated

First Submitted Date

Apr 10, 2025

First Submission Date that Met QC Criteria

Apr 16, 2025

First Posted Date

Apr 24, 2025Actual

Results Waived

Not provided

Results First Submitted Date

Not provided

Results First Submitted that Met QC Criteria

Not provided

Results First Posted Date

Not provided

Certification/Extension (aka Delayed Results) First Submitted Date

Not provided

Certification/Extension First Submitted that Passed QC Review

Not provided

Certification/Extension First Posted Date

Not provided

Last Update Submitted Date

Nov 25, 2025

Last Update Posted Date

Dec 3, 2025Actual

Sponsor/Collaborators Module

Responsible Party, by Official Title

Hande Tiftikci, Student Principal Investigator(Under Supervision of Prof. Dr. Hüsna Özveren, Kırıkkale UniversityPrincipal Investigator

Lead Sponsor

Kırıkkale UniversityOTHER

Collaborators

Not provided

Oversight Module

Has Data Monitoring Committee (DMC)

Is FDA Regulated Drug

Is FDA Regulated Device

Is Unapproved Device

Not provided

Pediatric Postmarket Surveillance of a Device Product

Not provided

Product Exported from US

Not provided

FDAAA801 Violation

Not provided

Description Module

Brief Summary

This study is planned as a randomized controlled trial to determine the effect of laughter yoga on the exam anxiety and spirituality levels of nursing students. The research will be conducted with 100 second-year nursing students between 04.2025 and 06.2025. Students who meet the inclusion criteria will be randomized and divided into two groups: the experimental group (n=36) and the control group (n=36). All participating students will be administered the "Demographic Characteristics Form," "Exam Anxiety Scale," and "Spirituality Scale" (pre-test).

The experimental group will undergo laughter yoga sessions twice a week for 4 weeks, totaling 8 sessions.

The control group will only complete the "Demographic Characteristics Form," "Exam Anxiety Scale," and "Spirituality Scale" (pre-test). No intervention will be applied to the control group.

After the laughter yoga sessions are completed, both the experimental and control groups will complete the "Demographic Characteristics Form," "Exam Anxiety Scale," and "Spirituality Scale" (post-test).

The collected data will be analyzed using SPSS 22 software.

Detailed Description

Research Hypotheses:

Laughter yoga reduces exam anxiety in nursing students. Laughter yoga increases the spirituality levels of nursing students. This research aims to examine the effects of laughter yoga on exam anxiety and spirituality levels in nursing students. The researcher has completed a two-day "Laughter Yoga Leader" training with an Internationally Certified Laughter Yoga Instructor and has received the "Laughter Yoga Trainer Training" certificate. The study was conducted with an experimental design, including an experimental group and a control group. The interventions were applied by the researcher, who holds the "Laughter Yoga Leader" certification.

The sample was selected using the simple random sampling method, and participants were initially administered the "Demographic Information Form," "Exam Anxiety Scale," and "Spirituality Scale." After obtaining ethical committee approval, laughter yoga sessions were applied to students in the experimental group, while no intervention was provided to the control group. As the study was designed experimentally, both groups were initially evaluated using the same measurement tools, and then the experimental group underwent laughter yoga sessions. After the laughter yoga sessions, data were collected from both groups using the same measurement tools, and changes in exam anxiety and spirituality levels were analyzed.

The collected data were evaluated to analyze the changes in exam anxiety and spirituality levels. This study aims to determine the effects of laughter yoga on reducing exam anxiety and increasing spirituality levels in nursing students.

Design Module

Study Type

Interventional

Number of References to an Expanded Access Study

Not provided

Expanded Access Types

Not provided

Patient Registry

Not provided

Target Follow-Up Duration

Not provided

Phases

Not Applicable

Interventional Study Design

Allocation

Biospecimen

No data available

No data is available for this block.

Enrollment

36Actual

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
intervention	Experimental	Participants in the intervention group received laughter yoga sessions twice a week for a total of four weeks.	Other: laughter yoga
Control	No Intervention	No application was made to the control group, standard procedure was followed.

Interventions

Name	Type	Description	Arm Group Labels	Other Names
laughter yoga	Other	Participants in the intervention group received laughter yoga sessions twice a week for a total of four weeks.	intervention

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Change in exam anxiety levels as measured by the Test Anxiety Scale	Exam anxiety will be assessed using a validated Test Anxiety Scale before and after the 4-week laughter yoga intervention. The mean score difference between pre-test and post-test will be analyzed using paired samples t-test.	Baseline and post-intervention (Week 4)

Secondary Outcomes

Measure	Description	Time Frame
Change in spirituality levels as measured by the Spirituality Scale	Spirituality levels will be measured using a validated Spirituality Scale at the beginning and end of the intervention. Differences in mean scores will be analyzed with paired t-tests to determine statistical significance.	Baseline and post-intervention (Week 4)

Other Outcomes

Not provided

Eligibility Module

Eligibility Criteria

Inclusion Criteria:

Being a 2nd-year student in the Nursing Department
Able to speak and understand Turkish
Voluntarily agreeing to participate in the study
No visual or hearing impairments
No history of psychiatric illness
No current or past use of psychotropic medication

Exclusion Criteria:

Refusal to participate in the study
Inability to speak or understand Turkish
Diagnosed psychiatric illness and/or use of psychotropic agents
Previous participation in laughter yoga
Physical limitations or respiratory problems preventing yoga practice
Difficulty in performing breathing exercises due to conditions such as septum deviation
Abdominal surgery within the past 6 months

Drop-out Criteria:

Failure to attend any of the laughter yoga sessions
Receiving a new diagnosis that contraindicates laughter yoga during the 4-week intervention period

Accepts Healthy Volunteers

Yes

Sex

All

Sex/Gender Based

Not provided

Sex/Gender Description

Not provided

Minimum Age

18 Years

Maximum Age

30 Years

Standard Ages

Adult

Study Population

Not provided

Sampling Method

Not provided

Contacts/Locations Module

Central Contacts

Not provided

Overall Officials

Name	Affiliation	Role
Hande Tiftikci	Kırıkkale University	Principal Investigator

Locations

Facility	Status	City	State	ZIP	Country	Contacts
Kirikkale University		Kirikkale	Turkey	71450	Turkey (Türkiye)

IPD Sharing Statement Module

Plan to Share IPD

Description

The confidentiality of the data used in the study will be protecte

Types

Not provided

Time Frame

Not provided

Access Criteria

Not provided

URL

Not provided

ID	Term
D001008	Anxiety Disorders

ID	Term
D001523	Mental Disorders

Intervention Browse Module

MeSH Terms

ID	Term
D027641	Laughter Therapy

Ancestor Terms

ID	Term
D026441	Mind-Body Therapies
D000529	Complementary Therapies
D013812	Therapeutics

Browse Leaves

Not provided

Browse Branches

Not provided

Masking Info

Masking

Double

Masking Description

In this study, the data were entered by someone other than the researcher, and statistical analysis was performed by a person other than the researcher. In the study, laughter yoga was applied to the participants in the experimental group. Since laughter yoga is an intervention that can be clearly recognized by the participants, they were aware of which group they were in. This means that blinding of the participants was not possible. Additionally, since the researcher was the person implementing the intervention, both the participants and the researcher were aware of the intervention. Therefore, blinding was not included in this study.

Who Masked

ParticipantOutcomes Assessor