Laughter Yoga
Conditions
Keywords
Pediatric Intensive Care Unit, Resilience, Coping Skills, Family Centered Nursing, Laughter Therapy, Laughter
Brief summary
This randomized controlled trial examined the effects of laughter yoga on resilience and coping attitudes in mothers of children hospitalized in the pediatric intensive care unit. Mothers whose children had been hospitalized for at least one week were randomly assigned to an intervention or control group. The intervention group participated in structured laughter yoga sessions lasting 15-20 minutes over 3-4 days, while the control group received routine care. Psychological resilience and coping attitudes were assessed using standardized measurement tools. The study aimed to provide evidence for a brief, non-pharmacological intervention to support maternal psychological well-being in PICU settings.
Detailed description
Having a child hospitalized in a pediatric intensive care unit (PICU) is a highly stressful experience for parents, particularly mothers, and is often associated with increased psychological distress, reduced resilience, and ineffective coping strategies. Despite the critical importance of supporting parental mental well-being in PICU settings, there is a lack of evidence-based, non-pharmacological interventions that simultaneously target resilience and coping attitudes. This study aimed to evaluate the effect of laughter yoga on resilience and coping attitudes in mothers of children in the pediatric intensive care unit. A single-blind, parallel-group randomized controlled trial was conducted with the mothers of children hospitalized in the PICU for at least one week. Mothers in the intervention group participated in structured laughter yoga sessions lasting 15-20 minutes over 3-4 days, while the control group received routine care only. Data were collected using the Connor-Davidson Resilience Scale and the Coping Attitudes Assessment Scale before and after the intervention.
Interventions
BEHAVIORALLaughter Yoga
Mothers in the intervention group participated in structured laughter yoga sessions lasting 15-20 minutes, conducted over a period of 3-4 days.
Sponsors
Izmir Democracy University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
A total of 40 mothers were randomly assigned to either the laughter yoga group (n = 20) or control group (n = 20).
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Mothers aged 18 years or older * Ability to read and speak Turkish * Having a child hospitalized in the pediatric intensive care unit (PICU) for at least one week * Access to basic communication tools (telephone and/or internet) * No previous participation in laughter yoga or a similar intervention
Exclusion criteria
* Presence of a clinically diagnosed severe psychiatric disorder * Having a child who was terminally ill or clinically unstable * Participation deemed inappropriate by the attending physician
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Connor-Davidson Resilience Scale | Six months | The Connor-Davidson Resilience Scale (CD-RISC-10) was originally developed by Connor and Davidson (2003), subsequently shortened to 10 items by Campbell-Sills and Stein (2007), and adapted to Turkish by Sarıçam (2010). The scale is scored using a five-point Likert-type format (0-4), with higher total scores indicating greater resilience. In the Turkish validity and reliability study, the scale was reported to have a single-factor structure with a Cronbach's alpha coefficient of 0.81. In the present study, Cronbach's alpha coefficients were 0.79 for the pre-test and 0.80 for the post-test. |
| Coping Attitudes Assessment Scale | six months | The scale was originally developed by Carver et al. (1989) and adapted into Turkish by Dicle and Ersanlı (2015). The adapted version consists of 32 items and 5 subscales: Self-Help, Approach, Adaptation, Avoidance-Escape, and Self-Punishment. Items are rated on a four-point Likert-type scale, with higher total scores indicating more effective coping attitudes. In the Turkish validity and reliability study, the overall internal consistency coefficient was reported as 0.97, with Cronbach's alpha values for the subscales ranging from 0.96 to 0.99. In the present study, the overall internal consistency of the scale was 0.78 in the pre-test and 0.81 in the post-test, while Cronbach's alpha values for the subscales ranged between 0.79 and 0.82. |
Countries
Turkey (Türkiye)
Outcome results
None listed