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Laughter Yoga Reduces Nursing Student Stress in Randomized Controlled Trial

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Summary

NIH's ClinicalTrials.gov registered a randomized controlled trial (NCT07540039) evaluating laughter yoga as a non-invasive intervention to reduce perceived stress and improve self-efficacy among first-year nursing students. The study uses pre-test, post-test, and follow-up measures across experimental and control groups. The trial registration identifies laughter yoga as a complementary medicine practice combining unconditional laughter with breathing techniques.

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What changed

This entry registers a new randomized controlled trial on ClinicalTrials.gov under identifier NCT07540039, with no amendments or removals. The study targets first-year nursing students and examines whether laughter yoga — combining unconditional laughter with breathing techniques — reduces perceived stress and enhances self-efficacy. No regulatory obligations, compliance deadlines, or enforcement actions are associated with this registration. Clinical researchers and healthcare educators may reference this trial's design as background when considering complementary medicine interventions in nursing education programs.

Archived snapshot

Apr 21, 2026

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LaughterYogaStress

N/A NCT07540039 Kind: NA Apr 20, 2026

Abstract

It is important for students to develop effective coping behaviors to manage stress, as this contributes to the formation of a positive professional identity. Studies have shown that stress negatively affects student success (Chapman and Orb, 2001; Chan, So, and Fong, 2009). First-year nursing students may particularly experience difficulties in performing clinical practice for the first time and communicating with healthcare professionals (Ağaçdiken et al., 2016; Pryjmachuk and Richards, 2007).

Self-efficacy is one of the key factors determining how individuals handle and cope with stressful situations, and it serves as a protective factor in stress management. Various methods are used to cope with stress. In the Traditional Medicine Strategy report published by the World Health Organization, yoga is identified as a complementary medicine practice (WHO, 2013b).

Laughter yoga is an exercise program that combines unconditional laughter with breathing techniques and is considered a non-invasive and non-pharmacological intervention (Strean, 2009). It activates muscles through laughter-related movements, enhances blood circulation, and contributes to reducing stress hormone levels (Yim, 2016). Therefore, laughter yoga will be used in this study to help students cope with stress and improve their self-efficacy levels.

This study is designed as a randomized controlled trial with an experimental and a control group, using a pre-test, post-test, and follow-up design. The popula...

Conditions: Laughter Yoga, Perceived Stress, Self-Efficacy, Nursing Students

Interventions: laughter yoga

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Classification

Agency
NIH
Instrument
Notice
Branch
Executive
Legal weight
Non-binding
Stage
Final
Change scope
Minor

Who this affects

Applies to
Educational institutions Healthcare providers Consumers
Industry sector
6111 Higher Education
Activity scope
Clinical trial design Stress management research Nursing education
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Clinical Operations
Topics
Public Health Employment & Labor

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