{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T20:44:47Z","timestamp":1785703487104,"version":"3.56.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laughter yoga has emerged as a complementary approach with potential benefits for nurses\u2019 well-being, particularly among those working in shift-based and demanding clinical settings; however, evidence comparing different delivery formats remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to comparatively evaluate the feasibility and preliminary outcomes of online and face-to-face laughter yoga interventions on perceived stress, sleep quality, and burnout among nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This three-group pilot randomized controlled trial was conducted at a public hospital between April 2024 and February 2025. A total of 47 nurses were randomly assigned to a face-to-face intervention group, an online intervention group, or a control group. The intervention consisted of four laughter yoga sessions delivered over a two-week period. Data were collected at baseline and postintervention using the Perceived Stress Scale, Jenkins Sleep Scale, and Maslach Burnout Inventory. Statistical analyses included repeated-measures analysis of variance, paired-samples t-tests, and effect size calculations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant between-group or within-group differences were observed in perceived stress levels. Nurses in the online laughter yoga group demonstrated significant improvements in sleep quality (p\u2009=\u20090.009), emotional exhaustion (p\u2009=\u20090.006), and personal accomplishment (p\u2009=\u20090.006), with large effect sizes. No significant changes were found in the face-to-face or control groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Online laughter yoga demonstrated promising preliminary effects on sleep quality and burnout-related symptoms among nurses; however, further studies with larger samples are needed, with efforts to reduce technical barriers such as internet access and connectivity issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      ClinicalTrials.gov, TRN: NCT06350747. Registered 18 March 2024.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT06350747\">https:\/\/clinicaltrials.gov\/study\/NCT06350747<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815261472875","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:37:54Z","timestamp":1785422274000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Online vs. face-to-face laughter yoga to support nurses\u2019 well-being: A pilot randomized trial"],"prefix":"10.1177","author":[{"given":"\u00d6zge","family":"Topsakal","sequence":"first","affiliation":[{"name":"Manisa Celal Bayar University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zgen","family":"Erdenilgen","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Clinic, Manisa Celal Bayar University Hafsa Sultan Hospital, Manisa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramazan","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Surgical Intensive Care Unit, Manisa Celal Bayar University Hafsa Sultan Hospital, Manisa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u0131nar","family":"D\u00f6nmez","sequence":"additional","affiliation":[{"name":"Health Services Directorate, Manisa Celal Bayar University Hafsa Sultan Hospital, Manisa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.23958\/ijirms\/vol04-i12\/802"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112954"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.31782\/IJCRR.2021.131126"},{"key":"e_1_3_3_5_2","first-page":"146","article-title":"The effect of laughter yoga on the psychological resilience and sleep quality of nurses during the pandemic: a randomized controlled trial","volume":"29","author":"\u00c7elik AS","year":"2023","unstructured":"\u00c7elik AS, Yaral\u0131 S. The effect of laughter yoga on the psychological resilience and sleep quality of nurses during the pandemic: a randomized controlled trial. Altern Ther Health Med 2023; 29: 146\u2013152.","journal-title":"Altern Ther Health Med"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1108\/978-1-83753-190-520231017"},{"key":"e_1_3_3_7_2","first-page":"144","article-title":"Kahkaha yogas\u0131 ve hem\u015firelik","volume":"30","author":"\u00d6zt\u00fcrk F\u00d6","year":"2021","unstructured":"\u00d6zt\u00fcrk F\u00d6, Tezel A. Kahkaha yogas\u0131 ve hem\u015firelik. STED 2021; 30: 144\u2013151.","journal-title":"STED"},{"key":"e_1_3_3_8_2","first-page":"108","article-title":"Geleneksel ve tamamlay\u0131c\u0131 t\u0131p uygulamalar\u0131n\u0131n g\u00fclen y\u00fcz\u00fc: kahkaha yogas\u0131","volume":"24","author":"\u00d6zer Z","year":"2021","unstructured":"\u00d6zer Z, Ate\u015f S. 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Effectiveness of laughter yoga therapy on job burnout syndromes among psychiatric nurses. Int J Nurs 2019; 6: 33\u201347.","journal-title":"Int J Nurs"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.21608\/ejnsr.2022.140251.1182"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_3_3_19_2","first-page":"132","article-title":"The adaptation of the perceived stress scale into turkish: a reliability and validity analysis","volume":"5","author":"Eskin M","year":"2013","unstructured":"Eskin M, Harlak H, Demirk\u0131ran F, et al. The adaptation of the perceived stress scale into turkish: a reliability and validity analysis. New Symp J 2013; 5: 132\u2013140.","journal-title":"New Symp J"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-017-3911-2"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030020205"},{"key":"e_1_3_3_22_2","first-page":"143","volume-title":"VII. 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