Evidence map›Paper›PMID 31247017›Full record

Trial reportPloS one2019

Effects of laughter therapy on quality of life in patients with cancer: An open-label, randomized controlled trial.

Toshitaka Morishima, Isao Miyashiro, Norimitsu Inoue, Mitsuko Kitasaka, Takashi Akazawa, Akemi Higeno, Atsushi Idota, Akira Sato, Tetsuya Ohira, Masato Sakon and 1 more

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04786483 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Effect of Laughter Therapy on Students' Anxiety, Life Satisfaction and Psychological Well-being in the Covid-19 Pandemic

TypeinterventionalSponsorZonguldak Bulent Ecevit UniversityRan2020 to 2021Enrolled80ConditionsLaughter Yoga, Anxiety, Life Satisfaction, Psychological Well-beingArmsLaughter Theraphy
NCT06829745 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

The Effect of Laughter Yoga Practiced After Burn Dressing on Pain, Anxiety and Mental Well-Being Levels.

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2025 to 2025Enrolled60ConditionsBurns, Laughter YogaArmsLaughter Yoga
NCT06995248 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Laughter Yoga on Pain, Fatigue and General Well-Being in Cancer Patients and Their Caregivers: A Randomized Controlled Study

TypeinterventionalSponsorÇankırı Karatekin UniversityRan2025 to 2026Enrolled80ConditionsLaughter YogaArmsLaughter Yoga
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Toshitaka MorishimaCancer Control Center, Osaka International Cancer Institute, Osaka, Japan.ORCID 0000-0002-0747-3287
Isao MiyashiroCancer Control Center, Osaka International Cancer Institute, Osaka, Japan.
Norimitsu InoueDepartment of Tumor Immunology, Research Center, Osaka International Cancer Institute, Osaka, Japan.
Mitsuko KitasakaDepartment of Nursing Services, Osaka International Cancer Institute, Osaka, Japan.
Takashi AkazawaDepartment of Cancer Drug Discovery and Development, Research Center, Osaka International Cancer Institute, Osaka, Japan.ORCID 0000-0002-4155-9228
Akemi HigenoDepartment of Clinical Laboratory, Osaka International Cancer Institute, Osaka, Japan.
Atsushi IdotaDepartment of Clinical Laboratory, Osaka International Cancer Institute, Osaka, Japan.
Akira SatoCancer Control Center, Osaka International Cancer Institute, Osaka, Japan.ORCID 0000-0003-3720-6056
Tetsuya OhiraDepartment of Epidemiology, Fukushima Medical University, Fukushima, Japan.
Masato SakonOsaka International Cancer Institute, Osaka, Japan.
Nariaki MatsuuraOsaka International Cancer Institute, Osaka, Japan.
Osaka International Cancer Institute · JPFukushima Medical University · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew randomized controlled trials have assessed the effects of laughter therapy on health-related quality of life (QOL) in cancer patients. This study aimed to evaluate these effects as an exploratory endpoint in cancer patients as part of a randomized controlled trial conducted at a single institution in Japan.

methodsThe Initiative On Smile And CAncer (iOSACA) study was an open-label randomized controlled trial conducted in 2017 in which participants aged 40-64 years with cancer were randomly assigned to either an intervention group (laughter therapy) or control group (no laughter therapy). Each participant in the intervention group underwent a laughter therapy session once every two weeks for seven weeks (total of four sessions). Each session involved a laughter yoga routine followed by Rakugo or Manzai traditional Japanese verbal comedy performances. We assessed QOL as a secondary endpoint in this intention-to-treat population using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). The questionnaire was completed at baseline (Week 0) and at Weeks 3 and 7. Mixed-effects models for repeated measures were developed to compare time-dependent changes in each QOL domain from baseline between the intervention and control groups.

resultsFour participants retracted consent and one participant was retrospectively excluded from analysis due to unmet inclusion criteria. The analysis was conducted using 56 participants, with 26 in the intervention group and 30 in the control group. Questionnaire completion rates were high (>90%), with similar QOL scores reported at baseline in both groups. The mixed-effects models showed that the intervention group had significantly better cognitive function and less pain than the control group for a short period.

conclusionLaughter therapy may represent a beneficial, noninvasive complementary intervention in the clinical setting. Further studies are needed to verify the hypotheses generated from this exploratory study.

Indexed as

Laughter TherapyAdultCognitionCross-Over StudiesFemaleHumansMaleMiddle AgedNeoplasmsPain MeasurementProspective StudiesQuality of LifeSurveys and Questionnaires

Identifiers

PMID31247017
PMCPMC6597115
OpenAlexW2953612643

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.