Investigation of The Effect of Video-Assisted Laughter Yoga

Investigation of The Effect of Video-Assisted Laughter Yoga on Pain and Menstrual Symptoms in Primary Dysmenorrhea

This study is planned to examine the effect of video-assisted laughter yoga on pain and menstrual symptoms among students studying at a university in Türkiye. Data will be collected at the Faculty of Health Sciences, Konya Karatay University, between November 2025 and April 2026. The study population will consist of students aged 18 to 24 years studying at the Faculty of Health Sciences during the specified period. The sample size was calculated using the G Power computer program. Using a power analysis at the α=0.05 level, the effect size was calculated as 150, 153 (d=0.8), and the working power was calculated as 90%, indicating that at least 68 students should be included in the sample. Students meeting the research criteria and agreeing to participate in the study will be randomly assigned to an experimental group and a control group. The socio-demographic data of the students in the Faculty of Health Sciences, the Visual Analog Scale to assess students' pain, and the Menstrual Symptom Scale to measure menstrual symptoms, prepared by the researcher in accordance with the literature, will be used.

Study Overview

• Status: Recruiting
• Conditions: Laughter Yoga
• Intervention / Treatment: Behavioral: Session 1: Laughter Yoga; Behavioral: Session 2: Laughter Yoga; Behavioral: Session 3: Laughter Yoga; Behavioral: Session 4: Laughter Yoga; Behavioral: Session 5: Laughter Yoga; Behavioral: Session 6: Laughter Yoga; Behavioral: Session 7: Laughter Yoga; Behavioral: Session 8: Laughter Yoga; Behavioral: Session 9: Laughter Yoga; Behavioral: Session 10: Laughter Yoga; Behavioral: Session 11: Laughter Yoga; Behavioral: Session 12: Laughter Yoga; Behavioral: Session 13: Laughter Yoga; Behavioral: Session 14: Laughter Yoga; Behavioral: Session 15: Laughter Yoga; Behavioral: Session 16: Laughter Yoga; Behavioral: Session 17: Laughter Yoga; Behavioral: Session 18: Laughter Yoga; Behavioral: Session 19: Laughter Yoga; Behavioral: Session 20: Laughter Yoga; Behavioral: Session 21: Laughter Yoga; Behavioral: Session 22: Laughter Yoga; Behavioral: Session 23: Laughter Yoga; Behavioral: Session 24: Laughter Yoga

Detailed Description

Research data will be collected face-to-face by the researcher. The study will be conducted with students who meet the inclusion criteria (being a student in the Faculty of Health Sciences, being willing to participate in the research, and being open to communication and collaboration). Pre-test assessment tools will be administered to the participating students. Following this, Laughter Yoga practice will be conducted. A total of 24 sessions will be implemented. Final post-test data will be administered after the last session.

• Study Type: Interventional
• Enrollment (Estimated): 68
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Safiye Ağapınar Şahin, Assoc. Prof.; Phone Number: 04422311233; Email: pinarsaf@gmail.com
• Study Contact Backup: Name: Hediye Karakoç, Assoc. Prof.; Phone Number: 0 541 229 17 26; Email: hediye.bekmezci@karatay.edu.tr

Study Locations

• Turkey (Türkiye)
  • Karatay
    • Konya, Karatay, Turkey (Türkiye)
      • Recruiting
      • KTO Karatay Üniversitesi
      • Contact: Safiye Ağapınar Şahin; Phone Number: 0 442 231 12 33; Email: pinarsaf@gmail.com
      • Contact: Hediye Karakoç; Phone Number: 0 541 229 1726; Email: hediye.bekmezci@karatay.edu.tr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Students with regular menstrual periods (lasting 3-8 days, with a menstrual cycle range of 21-35 days)
• Students with dysmenorrhea pain intensity of 45 mm or more according to the Visual Analog Scale (VAS).

Exclusion Criteria:

• Students diagnosed with secondary dysmenorrhea (endometriosis, ovarian cyst/tumor, pelvic infectious disease, myoma, uterine polyps, uterine adhesions, infection, etc.),
• those using oral contraceptives,
• those with compromised tissue integrity in the abdominal area,
• those with any chronic or mental illness.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

24

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Session I; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 1: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session II; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 2: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session III; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 3: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session IV; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 4: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session V; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 5: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session VI; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 6: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session VII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 7: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session VIII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 8: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session IX; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 9: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session X; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 10: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XI; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 11: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 12: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XIII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 13: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XIV; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 14: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XV; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 15: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XVI; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 16: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XVII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 17: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XVIII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 18: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XIX; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 19: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: XX; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 20: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: Session XXI; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 21: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: XXII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 22: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: XXIII; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 23: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.
Experimental: XXIV; The session will begin with hand clapping and warm-up exercises, followed by deep breathing exercises, childlike acting, and laughter exercises.	Behavioral: Session 24: Laughter Yoga; Each session includes hand clapping and warm-up exercises, deep breathing techniques, childlike playfulness activities, structured laughter exercises, and a brief relaxation phase.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demographic Information Form	This form consists of 14 questions prepared by the researcher. It includes questions about students' demographic information (age, department, class, marital status, and place of residence) and characteristics of their menstrual cycle (age of menarche, duration of bleeding and pain, etc.).	up to 1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale (VAS)	VAS is used to measure the pain a person perceives. On a 10 cm (100 mm) section of the scale, one end is marked with no pain (zero), and the other end with the most severe pain possible (10). The individual can indicate their pain by drawing a line, placing a dot, or marking a point. The distance from the point where there is no pain to the point marked by the individual is measured in centimeters, and the resulting value indicates the severity of the individual's pain. On the VAS scale, 0-44 mm indicates mild pain, 45-74 mm indicates moderate pain, and 75-100 mm indicates severe pain.	up to 1 day

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Menstrual Symptom Scale (MSS)	Developed in 1975 by Chesney and Tasto to assess menstrual pain and symptoms, it was updated in 2009 by Negriff et al., who re-evaluated its factor structure and usability in adolescents. Turkish validity and reliability were established by Güvenç et al. in 2014. The MSS is a five-point Likert-type scale consisting of twenty-two items. Participants are asked to rate their menstrual symptoms on a scale of 1 (never) to 5 (always). The scale has three sub-dimensions: 'Negative Effects/Somatic Complaints' (Items 1-13), 'Menstrual Pain Symptoms' (Items 14-19), and 'Coping Mechanisms' (Items 20-22). The highest possible score is 110, and the lowest is 22. The MSÖ score is calculated by taking the average of the total scores of the items on the scale. A higher average score indicates increased severity of menstrual symptoms. The score obtained from the subdimensions is calculated by taking the average of the total scores of the items in the subdimensions. A	up to 1 day

Collaborators and Investigators

• Sponsor: Ataturk University
• Collaborators: KTO Karatay University

Study record dates

Study Major Dates

• Study Start (Actual): December 30, 2024
• Primary Completion (Actual): November 3, 2025
• Study Completion (Estimated): April 22, 2026

Study Registration Dates

• First Submitted: March 31, 2026
• First Submitted That Met QC Criteria: March 31, 2026
• First Posted (Actual): April 7, 2026

Study Record Updates

• Last Update Posted (Actual): April 7, 2026
• Last Update Submitted That Met QC Criteria: March 31, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: pain; Primary dysmenorrhea; Video; Laughter Yoga; menstrual symptoms
• Additional Relevant MeSH Terms: Neurologic Manifestations; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Pain
• Other Study ID Numbers: SSAHIN0003

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No