UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047164
Receipt number R000053800
Scientific Title The effects of laughter and other positive psychological interventions on the prevention of the onset and severity of lifestyle-related diseases.
Date of disclosure of the study information 2022/03/20
Last modified on 2022/03/13 22:50:09

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

The effects of laughter and other positive psychological interventions on the prevention of the onset and severity of lifestyle-related diseases.

Acronym

The effects of laughter interventions on the prevention of the onset and severity of lifestyle-related diseases.

Scientific Title

The effects of laughter and other positive psychological interventions on the prevention of the onset and severity of lifestyle-related diseases.

Scientific Title:Acronym

The effects of laughter interventions on the prevention of the onset and severity of lifestyle-related diseases.

Region

Japan


Condition

Condition

Diabetes Mellitus

Classification by specialty

Medicine in general Endocrinology and Metabolism Psychosomatic Internal Medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether laughter is useful in controlling blood glucose levels and preventing future complications by improving cardiovascular risk factors such as high blood pressure by having people with diabetes laugh regularly and increasing opportunities to laugh in their daily lives.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Hemoglobin A1c level by blood test after 12-weeks intervention

Key secondary outcomes

After 12-weeks intervention (1) frequency of laughter, psychological health such as depressive symptoms and subjective stress, and lifestyle habits such as sleep time
(2) Blood pressure, pulse rate, body weight, body mass index, and waist circumstance
(3) Autonomic nervous system function


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Laughter Yoga (1hour, 8 times/12 weeks)

Interventions/Control_2

Lecture about laughter and health (30min, 8 times/12 weeks)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Type 2 diabetes with HbA1c (NGSP criteria) of 6.1% to 7.9% within the past 3 months, and with a 3-month fluctuation of 1.0 or less.

Key exclusion criteria

Those with a history of stroke or ischemic heart disease in the past (but may participate if symptoms are stable and doctor's approval is given for light exercise).

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Tetsuya
Middle name
Last name Ohria

Organization

Fukushima Medical University School of Medicine

Division name

Department of Epidemiology

Zip code

960-1295

Address

Hikarigaoka 1, Fukushima-shi 960-1295

TEL

024-547-1343

Email

teoohira@fmu.ac.jp


Public contact

Name of contact person

1st name Tetsuya
Middle name
Last name Ohira

Organization

Fukushima Medical University School of Medicine

Division name

Department of Epidemiology

Zip code

960-1295

Address

Hikarigaoka 1, Fukushima-shi 960-1295

TEL

024-547-1343

Homepage URL


Email

teoohira@fmu.ac.jp


Sponsor or person

Institute

Fukushima Medical University

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee, Fukushima Medical University

Address

Hikarigaoka 1, Fukushima-shi, Fukushima -ken, 960-1295 Japan

Tel

024-547-1825

Email

rs@fmu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 03 Month 20 Day


Related information

URL releasing protocol

https://www.fmu.ac.jp/home/epi/report/index.html

Publication of results

Partially published


Result

URL related to results and publications

https://www.fmu.ac.jp/home/epi/report/index.html

Number of participants that the trial has enrolled

42

Results

Among 42 participants, 40 participants were included in the analysis (laughter yoga group; n=20, control group; n=20). The mean HbA1c level changed from 7.12% to 6.86% in the laughter yoga group and from 7.20% to 7.27% in the control group (mean between-group difference for change of -0.33%, P= 0.008). Positive affect increased significantly only in the laughter yoga group. Sleep duration also increased, however statistically insignificant (P = 0.074), only in the laughter yoga group.

Results date posted

2022 Year 03 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The majority of the participants were women (66.7%). There were no significant differences in baseline characteristics between the two groups.

Participant flow

42 were received baseline measurements and accepted to participate the study. Of these, 21 participants were allocated to the laughter yoga group and 21 participants to the control group. One person in the laughter yoga group and one person in the control group dropped out because of personal reasons. Finally, 40 participants were included in the analysis (20 in the laughter yoga group and 20 in the control group). Participants in both groups showed adherence rates of 95%.

Adverse events

None

Outcome measures

The mean HbA1c level changed from 7.12% to 6.86% in the laughter yoga group (P=0.004) and from 7.20% to 7.27% in the control group (P=0.410). The unadjusted difference between the two groups was statistically significant (-0.33%, 95%CI: -0.57% to -0.09%, P=0.008). Age and BMI adjusted difference was also significant (P = 0.004). The score in positive affect significantly increased only in the laughter yoga group (P = 0.018), although the between-group difference was not statistically significant. Although the statistical significance was borderline (P=0.074), there was an increase in sleep duration in the laughter yoga group, and the unadjusted and adjusted statistical significance between the laughter yoga group and the control group was also borderline (P=0.080 and 0.053, respectively).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2014 Year 04 Month 01 Day

Date of IRB

2014 Year 06 Month 17 Day

Anticipated trial start date

2014 Year 07 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 03 Month 13 Day

Last modified on

2022 Year 03 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053800