The Effect of Health Education Based Laughter Yoga Applied to Adolescents on Stress and Digital Gaming Habits

NCT07032090 | Active Not Recruiting DMC

• 1 other identifier: 2025/98
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

Adolescents may turn to digital games as a coping mechanism for stress, which can lead to addiction and various health problems. School-based health education and laughter yoga are promising interventions for reducing stress and promoting healthy behaviors. This randomized controlled trial with a Solomon four-group design aims to evaluate the effects of health education and laughter yoga on stress levels and digital game habits among adolescents. Study Hypotheses: H0-1: Health education and laughter yoga have no effect on adolescent stress. H1-1: Health education and laughter yoga reduce adolescent stress. H0-2: Health education and laughter yoga do not affect digital game habits. H1-2: Health education and laughter yoga reduce digital game habits.

Conditions

Digital Technology; Technology Addiction; Internet Addiction Disorder; Laughter Yoga

Keywords

Laughter Yoga; Digital Technology; Technology Addiction; Internet Addiction Disorder; Adolescent; Stress; Health Education

Outcome Measures

Primary Outcomes (2)

• Digital Game Addiction Scale for Children

  It was developed by Hazar and Hazar (2017) to determine the levels of digital game addiction in children aged 10-14. The scale, prepared as a 5-point Likert type, consists of 4 sub-factors and 24 items. Each item on the scale is coded as "1 = Strongly Disagree," "2 = Disagree," "3 = Neutral," "4 = Agree," and "5 = Strongly Agree." The lowest possible score on the scale is 24, and the highest is 120. The scoring classification is as follows: "1-24: Normal group, 25-48: Low-risk group, 49-72: Risk group, 73-96: Addicted group, 97-120: Highly addicted group." The sub-dimensions of the scale are: "Excessive Focus and Conflict Related to Digital Gaming," "Tolerance Development in Game Time and Value Assigned to the Game," "Postponement of Individual and Social Tasks/Homework," and "Psychological-Physiological Reflection of Withdrawal and Immersion in the Game." The Cronbach's alpha for the entire scale is 0.90, and for the sub-factors, it is 0.78, 0.81, 0.76, and 0.67, respectively.

  1.5 months

• Adolescent Stress Questionnaire -Short Form

  The Adolescent Stress Questionnaire was developed by Byrne et al. in 2007 as a 5-point Likert-type scale consisting of 58 items and 10 subscales. In 2018, Anniko et al. created a shortened version of the questionnaire with 27 items and 9 subscales. The Turkish validity and reliability study of the scale was conducted by Öztürk Tanış and Gür in 2022. The questionnaire asks participants to evaluate the degree to which each item represents a source of stress for them. Each item is rated on a scale from: "1 = Not at all stressful (or did not occur)," "2 = A little stressful," "3 = Moderately stressful," "4 = Quite stressful," "5 = Very stressful." Higher scores indicate higher levels of perceived stress. The Cronbach's alpha for the original version of the scale is 0.93. For the Turkish version, the overall Cronbach's alpha is 0.88, and the subscale alphas range from 0.62 to 0.88.

  1.5 month

Study Arms (4)

Arm 1:Health Education and Laughter Yoga

EXPERIMENTAL

Participants will complete a pre-test, receive a single face-to-face session of stress management education, followed by laughter yoga twice a week for 6 weeks.

Behavioral: Health education; Behavioral: Laughter Yoga

Arm 3: Health Education and Laughter Yoga

EXPERIMENTAL

Participants will receive a single face-to-face session of stress management education without a pre-test, followed by laughter yoga twice a week for 6 weeks.

Behavioral: Health education; Behavioral: Laughter Yoga

Arm 2: Control Group

NO INTERVENTION

Participants will undergo a pre-test with no additional intervention; post-tests will be conducted at the end of the study, and laughter yoga will be offered to volunteers.

Arm 4: Control Group

NO INTERVENTION

Participants will not undergo a pre-test and no additional intervention will be provided; post-tests will be conducted at the end of the study, and laughter yoga will be offered to volunteers.

Interventions

Health education BEHAVIORAL

Participants will receive face-to-face health education, followed by 12 sessions of laughter yoga.

Also known as: stress coping training

Arm 1:Health Education and Laughter Yoga; Arm 3: Health Education and Laughter Yoga

Laughter Yoga BEHAVIORAL

The intervention groups will receive a total of 12 sessions of laughter yoga, delivered by the researcher over 6 weeks, twice a week, each lasting 40-45 minutes.

Arm 1:Health Education and Laughter Yoga; Arm 3: Health Education and Laughter Yoga

Eligibility Criteria

• Age: 10 Years - 14 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Adolescents who are students in the 5th, 6th, 7th, and 8th grades,
• whose parents and themselves volunteer to participate in the study,
• who play digital games using devices such as mobile phones, tablets, computers, or game consoles will be included in the study.

You may not qualify if:

• Adolescents who have any health condition that prevents them from exercising; -who have undergone abdominal surgery within the last three months; or
• who have diabetes, glaucoma, hypertension, epilepsy, asthma,
• hernia will be excluded from the study.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi Gulhane Tip Fakultesi: lead

Study Sites (1)

Health Sciences University Gulhane Faculty of Nursing

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Technology Addiction; Internet Addiction Disorder; Health Education

Interventions

Laughter Therapy

Condition Hierarchy (Ancestors)

Behavior, Addictive; Compulsive Behavior; Impulsive Behavior; Behavior; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Model Details: A four-arm randomized controlled study using the Solomon design.

Study Record Dates

• First Submitted: June 13, 2025
• First Posted: June 22, 2025
• Study Start: March 15, 2025
• Primary Completion: May 25, 2025
• Study Completion: September 15, 2025
• Last Updated: June 27, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)