The Effect of Laughter Yoga in Type 2 Diabetes Patients

NCT ID: NCT07271706

Last Updated: 2025-12-09

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 80 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-12-15
• Study Completion Date: 2026-01-25

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.

Detailed Description

Diabetes is a major global health problem affecting more than 537 million adults worldwide, a number expected to rise substantially in the coming decades. Type 2 diabetes, the most prevalent form, requires consistent self-management to maintain glycemic control and prevent complications. However, individuals living with chronic illness often experience ongoing physiological fatigue and emotional stress, which can reduce self-efficacy and hinder engagement in self-management behaviors. Comfort, identified as an important psychological resource, plays a supportive role in sustaining these behaviors.

Katharine Kolcaba's Comfort Theory proposes that health behaviors can be positively influenced by enhancing individuals' physical, psychospiritual, sociocultural, and environmental comfort. Laughter Yoga-a mind-body intervention combining intentional laughter with breathing and relaxation techniques-has been shown to reduce stress, improve mood, and increase parasympathetic activity. Previous studies involving individuals with Type 2 diabetes have reported reductions in HbA1c, decreased stress levels, and improved quality of life following Laughter Yoga interventions. However, limited research has simultaneously examined its effects on both self-management behaviors and comfort levels.

This study aims to evaluate the effects of Laughter Yoga on self-management behaviors and comfort levels among individuals with Type 2 diabetes.

Conditions

Diabetic; Laughter Yoga; Comfort

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

control group

Group Type: NO_INTERVENTION

No interventions assigned to this group

Laughter yoga

Group Type: EXPERIMENTAL

Laughter yoga

Intervention Type: 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.

Interventions

Laughter yoga

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

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

Exclusion Criteria

• 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

• Minimum Eligible Age: 18 Months
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Bozok University

OTHER

Sponsor Role: lead

Responsible Party

Betül Bal

Lecturer Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

Yobu

Identifier Type: -

Identifier Source: org_study_id