O outcomes
shortness of breath, nausea/vomiting, sleep disturbance, fatigue, diarrhea, cancer, pain, constipation, Cancer
APPETITE LOSS, CANCER, CANCER
The primary outcome of this trial was HRQOL, which was assessed using EORTC QLQ-C30 (European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire version 3). Demographic information was also collected using a structured questionnaire.Demographic information questionnaire had 6 questions about age, frequency of chemotherapy, sex, type of cancer, previous chemotherapy experience, and experience of participating in program. This questionnaire was completed through an interview before the intervention.EORTC tool contained 30 items with five functioning domains, nine symptoms, and Global HRQOL status. HRQOL means subjective feeling of patients regarding their overall health and quality of life. The five functioning domains included physical functioning, role functioning, emotional functioning, cognitive functioning, and social functioning. The nine symptoms included fatigue, nausea/vomiting, pain, shortness of breath, sleep disturbance, appetite loss, constipation, diarrhea, and financial hardship. Raw score obtained from the rating given by the participants on questions was converted into transformed score ranging from zero to 100 as per the scoring manual. A higher value of HRQOL and functional scores, and lower value of symptoms and single items represents better health and wellbeing [The study questionnaires were completed before and after the laughter yoga sessions by the cancer patients, through interviews in a quiet room at the meeting hall next to the chemotherapy Center. First baseline demographic data were taken and initial assessment of HRQOL was done. Final assessment of HRQOL was done after four weeks, when laughter yoga intervention was delivered to the intervention group and self-care training education was given to the control group. Participants in both groups received their routine chemotherapy in between the assessments.