Laughter Yoga, Emotional Labor, and Menopause-Specific Quality of Life in Nurses

NCT07738211 — Not applicable, Active not recruiting, 120 participants, Inonu University

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Menopoz Dönemindeki Hemşirelerde Kahkaha Yogasının Duygusal Emek Davranışı ve Menopoza Özgü Yaşam Kalitesi Üzerine Etkisi

Registry	NCT07738211, acronym MENO-LY
Status	Active not recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: none, treatment
Enrollment	120 (Actual)
Sponsor	Inonu University (Other)
Conditions	Menopause, Menopause-Related Quality of Life, Emotional Labor, Nurse
Interventions	Laughter Yoga (Behavioral)
Dates	start 2025-07-25, primary completion 2026-07-25, completion 2026-11-26 (estimated), first posted 2026-07-31, last updated 2026-07-31
Locations	1 site in Turkey (Türkiye)

-Summary

This randomized controlled trial aimed to evaluate the effects of laughter yoga on emotional labor behavior and menopause-specific quality of life among menopausal nurses. A total of 120 premenopausal and postmenopausal nurses were randomly assigned to an intervention group (n=60) or a control group (n=60). The intervention group participated in eight laughter yoga sessions over four weeks, while the control group received no intervention. Emotional labor behavior and menopause-specific quality of life were assessed at baseline, post-intervention, and follow-up using validated instruments. The primary objective was to determine whether laughter yoga improves emotional labor behavior and menopause-specific quality of life compared with usual practice.

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+Arms and interventions

Arm	Type	Interventions	Description
Control Group	No intervention
Experimental Group	Experimental	Behavioral: Laughter Yoga

Laughter Yoga (Behavioral): Participants assigned to the intervention group received laughter yoga in groups of 10-12 participants. The intervention consisted of eight sessions conducted over four weeks (two sessions per week), with each session lasting approximately 30-40 minutes. Sessions included warm-up exercises, rhythmic clapping, deep breathing techniques, playful activities, simulated laughter exercises, and laughter meditation, followed by relaxation. All sessions were conducted face-to-face by a certified laughter yoga instructor according to the standard laughter yoga protocol.

+Outcome measures

Primary outcomes

Emotional Labor Behavior [Baseline, Week 4 (post-intervention), and Week 8 (follow-up)]: Emotional labor behavior assessed using the Nurses' Emotional Labor Behavior Scale. The Emotional Labor Behavior Scale for Nurses consists of 24 items with total scores ranging from 24 to 120. Higher scores indicate higher levels of emotional labor behavior.

Secondary outcomes

Menopause-Specific Quality of Life [Baseline, Week 4 (post-intervention), and Week 8 (follow-up)]: Menopause-specific quality of life assessed using the Menopause-Specific Quality of Life Scale (MENQOL). The Menopause-Specific Quality of Life Questionnaire is a 29-item instrument with total scores ranging from 0 to 174. Higher scores indicate poorer menopause-specific quality of life and greater symptom burden

+Eligibility

Sex: Female, ages: 45 Years to any

Inclusion Criteria:

* Female nurses aged 45 years or older.
* Premenopausal or naturally postmenopausal women.
* Not receiving hormone replacement therapy.
* Willing to participate in the study and able to provide written informed consent.

Exclusion Criteria:

* History of any psychiatric disorder.
* Current use of medications or participation in non-pharmacological interventions for stress reduction.
* Surgically or medically induced menopause.
* Inability to attend the laughter yoga sessions or complete the study assessments.

+Locations (1)

Facility	City	Country	Status
Inonu University Turgut Ozal Medical Center	Malatya, Battalgazi	Turkey (Türkiye)

+Investigators

Yurdagül Yağmur, Principal investigator, Inonu University