The Effect of Laughter Yoga in Type 2 Diabetes Patients

NCT07271706 | Not Yet Recruiting

• 1 other identifier: Yobu
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to examine the effect of laughter yoga on self-management skills and comfort levels in patients with Type 2 diabetes.

Conditions

Comfort; Diabetic; Laughter Yoga

Keywords

laughter yoga; diabetic; comfort; self-governance

Outcome Measures

Primary Outcomes (2)

• Diabetes Self-Management Score (Diabetes Self-Management Questionnaire - DSMQ)

  The Diabetes Self-Management Questionnaire (DSMQ), originally developed by Schmitt et al. (2013), will be used to evaluate diabetes self-management behaviors. The DSMQ consists of 16 items and four subscales: Glucose Management Dietary Control Physical Activity Health-Care Use Items are rated on a 4-point Likert scale (0-3). Seven items are scored positively, and nine items are reverse-scored. Total scores are calculated by dividing the raw score by the maximum possible score and multiplying by 10. The resulting values range from 0 to 10, with higher scores indicating better diabetes self-management.

  Baseline (Day 0) and Week 4

• Comfort Level Score (General Comfort Questionnaire - Short Form)

  The General Comfort Questionnaire - Short Form, developed by Kolcaba (2006), will be used to assess comfort levels across physical, psychospiritual, environmental, and social domains. The scale consists of 28 items and three subscales: Relief Ease Transcendence Items are rated on a 6-point Likert scale (1-6). Negative items are reverse-scored. The total comfort score ranges from 1 to 6, with higher scores indicating greater comfort.

  Baseline (Day 0) and Week 4

Study Arms (2)

control group

NO INTERVENTION

Laughter yoga

EXPERIMENTAL

Behavioral: Laughter yoga

Interventions

Laughter yoga BEHAVIORAL

Arm Description: A structured laughter yoga program delivered twice weekly for four weeks. Each 40-minute session includes warm-up and breathing exercises (5-7 min), guided laughter exercises (15-20 min), diaphragmatic breathing and relaxation (5-7 min), and mindfulness-based closing practices (3-5 min). Conducted by a certified facilitator.

Laughter yoga

Eligibility Criteria

• Age: 18 Months+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of Type 2 diabetes
• Age 18 years or older
• Willingness to participate in the Laughter Yoga intervention
• Ability to read and comprehend Turkish

You may not qualify if:

• Diagnosis of Type 1 diabetes
• Participation in individual psychotherapy or group-based psychological intervention programs
• Experience of a recent loss within the past month (e.g., death, divorce)
• Presence of any psychiatric diagnosis
• Use of psychiatric medication
• Severe visual or hearing impairment preventing active participation in the intervention
• Pregnancy or breastfeeding
• Limitations in reading or comprehending Turkish

Sponsors & Collaborators

• Bozok University: lead

MeSH Terms

Interventions

Laughter Therapy

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: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer Doctor

Model Details: Laughter Yoga Protocol The Laughter Yoga program administered to participants in the intervention group will be structured in accordance with protocols used in similar studies in the literature. The program will be conducted twice a week for four weeks. Each session will last approximately 40 minutes and will include the following four components: 1. Warm-up and Breathing Exercises (5-7 minutes) Participants will engage in gentle warm-up movements and guided breathing exercises to promote relaxation, increase body awareness, and prepare for laughter activities. 2. Laughter Exercises (15-20 minutes) Participants will perform voluntary laughter through instructor-guided techniques. These exercises are designed to activate the diaphragm, enhance oxygenation, stimulate positive emotional states, and increase parasympathetic activity. Techniques may include greeting laughter, clapping rhythms, playful interactions, and simulated laughter sequences. 3. Diaphragmatic Breathing and Relaxat

Study Record Dates

• First Submitted: November 21, 2025
• First Posted: December 9, 2025
• Study Start: December 15, 2025
• Primary Completion: December 25, 2025
• Study Completion: January 25, 2026
• Last Updated: December 9, 2025

Record last verified: 2025-11