Evidence map›Paper›PMID 42303395›Full record

ArticleBMJ open2026

Effects of laughter yoga on reducing depression and anxiety in children with autism spectrum disorder and parenting stress in their parents: study protocol for a randomised-controlled feasibility trial.

Joyce Oi Kwan Chung, Chung Yan Lam, Sau Fong Leung, Daniel Bressington, Andy Chun Yin Chong

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06326255 (The Effects of Laughter Yoga on Reducing Depression and Anxiety in Children With Autism Spectrum Disorder), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT06326255 naactive not recruitingnot on this map

The Effects of Laughter Yoga on Reducing Depression and Anxiety in Children With Autism Spectrum Disorder (ASD)and Parenting Stress in Their Parents: a Pilot Randomised Controlled Trial

TypeinterventionalSponsorLAM Chung Yan HemioRan2024 to 2026Enrolled66ConditionsAutism Spectrum Disorder, Parenting Stress, Depression, AnxietyArmslaughter yoga
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Joyce Oi Kwan ChungSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong okjoyce.chung@polyu.edu.hk.
Chung Yan LamSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.ORCID http://orcid.org/0000-0003-4812-0055
Sau Fong LeungSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.ORCID http://orcid.org/0000-0002-9570-9332
Daniel BressingtonSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.ORCID http://orcid.org/0000-0003-0951-2208
Andy Chun Yin ChongSchool of Nursing, Tung Wah College, Hong Kong, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBoth children with autism spectrum disorder (ASD) and their parents are at a high risk of experiencing anxiety and depression. Recent studies have indicated that laughter yoga can create happiness and reduce negative emotions in adults. However, there are limited studies about how laughter yoga benefits children with ASD and parents of children with ASD. This feasibility study aims to explore the recruitment, retention rate, protocol adherence and acceptability of a laughter yoga programme in children with ASD and their parents. Moreover, it investigates the safety issues and the effects of laughter yoga on reducing depression and anxiety in children with ASD, as well as parenting stress in their parents. METHODS AND ANALYSIS: This study protocol describes a feasibility study aimed at evaluating the feasibility and acceptability of a laughter yoga intervention for children with ASD and their parents. This feasibility study uses a randomised, wait-list-controlled trial and pre-test-post-test design. The primary outcomes include recruitment rate, screening rate, attendance rate, dropout rate, perceptions of laughter yoga, difficulties encountered and safety issues. The secondary outcomes focus on depressive and anxiety symptoms among children with ASD and parenting stress levels. Data will be collected before the intervention (T0), immediately after the intervention (T1) and 3 months after the intervention (T2). 66 children with ASD and their parents will be recruited in Hong Kong through social media posts. Participants will be randomly assigned to either the laughter yoga group or the wait-list-control group. The laughter yoga group will receive the intervention which consists of 12 classes of 1-hour laughter yoga over 6 months. After the intervention, families will be invited to join a family-based semi-structured interview, which aims at understanding participants' experiences, safety concerns and feedback they may have. The wait-list control group will receive no treatment until the completion of T2. The collected data will be used to evaluate the feasibility and acceptability of laughter yoga for children with ASD and their parents. ETHICS AND DISSEMINATION: This study was approved by the Human Subject Ethical Subcommittee of The Hong Kong Polytechnic University (No.: HSEARS20230723002). The results of the research project will be published in an academic journal. TRIAL REGISTRATION NUMBER: NCT06326255.

Indexed as

AnxietyAutism Spectrum DisorderDepressionLaughterLaughter TherapyParentingParentsStress, PsychologicalYogaAdultChildFeasibility StudiesFemaleHong KongHumansMaleAnxiety disordersChild & adolescent psychiatryDepression & mood disordersParentsStress, Psychological

Identifiers

PMID42303395
PMCPMC13289058

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.