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L AUGHTER Y OGA IS THE B EST M EDICINE Ho Ho - Ha Ha Ha Presented by: Erin Langiano, R/TRO and Kellie Halligan, CTRS W HO ARE WE ? W HERE DO WE WORK ? Royal Ottawa Place is a unique long term care facility, providing care to individuals who


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LAUGHTER YOGA IS THE BEST MEDICINE

Ho Ho - Ha Ha Ha

Presented by: Erin Langiano, R/TRO and Kellie Halligan, CTRS

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WHO ARE WE? WHERE DO WE WORK?

 Royal Ottawa Place is a unique long

term care facility, providing care to individuals who are challenged by a chronic, persistent mental illness.

 Average age 64 (Youngest 34 – Oldest

91)

 33 Male / 31 Female

This is Erin This is Kellie

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LET’S BREAK IT DOWN: OBJECTIVES

Learning Objectives:

 1. Participants will be able to identify key

components and theories of laughter yoga.

 2. Participants will actively participate in a laughter

yoga session for 30 minutes and be able to identify 2 benefits

 3. Participants will be able to identify benefits

discovered through research implemented with individuals living in LTC with mental illness at ROP.

 Take a minute to fill in the “BEFORE” measure of

“HOW DO YOU FEEL”

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WHAT IS LAUGHTER YOGA

 Laughter Yoga is a unique exercise routine which

combines unconditional laughter with yogic breathing.

 During a session we start with a gentle warm-up

(stretching, clapping, body movements).

 Laughter exercises and breathing techniques are

introduced (approx. 20 minutes).

 Session is finished with a laughter

meditation/cool-down/relaxation exercises

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5 WHYS OF LAUGHTER YOGA

1.

Laughter Yoga is a unique concept where anyone can laugh for no reason without relying on humour, jokes, or comedy

2.

We initiate laughter as an exercise in a group but with eye contact and childlike playfulness it soon turns into real and contagious laughter

3.

The reason we call it laughter yoga is because it combines laughter exercises with yoga breathing. This brings more

  • xygen to the body and the brain which makes one feel

more energetic and healthy.

4.

Laughter Yoga is based on scientific fact that the body cannot differentiate between real and simulated laughter if done with willingness. One receives the same health benefits whether laughter is real or fake.

5.

It was started by a medical doctor, Dr. Madan Kataria supported by his wife, Madhuri Kataria, a yoga teacher from India with just 5 people in a Mumbai park in 1995.

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A BLAST FROM THE PAST: THE HISTORY

OF LAUGHTER YOGA

 There have been a number of individuals to

contribute to the development of therapeutic laughter

 Norman Cousins, celebrated writer  Dr. William F. Fry, psychiatrist, Stanford

University

 Dr. Lee Berk, PhD, Loma Linda University

Medical Centre

 Dr. Patch Adams, MD  Dr. Madan Kataria  Dr. Madhuri Kataria

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HEALTHY BODY, HEALTHY MIND: THE BENEFITS OF LAUGHTER YOGA

 Laughter Yoga is a complete package for physical,

mental, social, and spiritual wellbeing of an individual

 Laughter Yoga brings more Laughter and Joy  Laughter Yoga for fitness  Oxygen levels  Increase blood circulation  Stress buster  Self-Confidence  Communication Skills  Maintains Emotional Balance  Boost Immune System  Depression and Anxiety

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WHO CAN BENEFIT FROM LAUGHTER YOGA ?

What population does everyone work with?

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WHAT TO EXPECT DURING A SESSION

 https://www.youtube.com/watch?v=tga6wRGlISs  Fill in the “AFTER” measure on your handout  Feedback 

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OUR ROCKY ROAD TO RESEARCH: HOW WE

GOT STARTED

 Becoming certified  Program Outline  Development of research question  Literature review  Proposal outline  Consent Forms  Measures (Oxford Happiness Questionnaire,

Sleep Rating Scale, PRN use)

 Ethics Approval

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PARTICIPANT SELECTION PROCESS

 Group size- 8:1 ratio (RAI/MDS Therapy groups)  Cognitive Performance Scores  Focus (ability to focus for 30 minutes)  Ability to understand/answer measurements  Commitment/Willingness to participate  Short-term memory  Interest  Diagnosis

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METHODOLOGY: OUR BIG BLOCK

Measure Original Timeline Actual Timeline PRN Use 30 days prior, during, after 14 days prior, during, after Oxford Happiness Questionnaire 1 prior to the start, halfway through (2 weeks), following last session, and 30 days after 1 day prior to start, following last session (2 weeks), and 2 weeks after last session Sleep Rating Scale Every day during study Every day during study

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PRN USE

2 4 6 8 10 12 14 PRN Use 2 Weeks Prior PRN Use During (14 days) PRN Use 2 Weeks After

PRN Use

Participant 2 Weeks Prior During (14 days) 2 Weeks After Maragaret Atwood 3 2 2 Jim Carrey Bryan Adams 4 12 4 Drake Mike Myers Pam Anderson K.D. Lang Celine Dion 1 1

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OXFORD HAPPINESS QUESTIONNAIRE: THE

CHOSEN ONE

 How do we choose?  Other options: PANAS, Satisfaction with Life

Scale, Subjective Happiness

 Who administered questionnaire

PROS CONS

  • Measured variety of

benefits directly related to LY

  • Difficulty with wording

(Eg. #23)

  • Standardized
  • Interpretation of

statements

  • Used within our field
  • Emotional for

participants

  • Easy scale to follow
  • Easy to calculate
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OXFORD HAPPINESS QUESTIONNAIRE

RESULTS

0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00

Oxford Happiness Questionnaire Results

Initial Score End Score Post Score

Oxford Happiness Questionnaire Results Participant Name Initial Score End Score Post Score Margaret Atwood 5.30 5.41 5.27 Celine Dion 4.90 3.69 5 Mike Myers 4.34 4.82 4.38 Jim Carrey 2.75 4.24 3.41 Pam Anderson 5.34 5.21 5.72 Bryan Adams 4.66 5 5.59 Drake 3.34 4.14 3.51

  • K. D. Lang

3.38 3.48 4.17 Averages 4.25 4.50 4.63

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SLEEP RATING SCALE

Sleep Rating Scale 1 2 3 4 5

(No sleep) (Woke occasionally) (Slept all night)

1- Awful 2- Not very good 3- Good 4- Really Good 5- Brilliant

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STATISTICS: A.K.A THE WORST PART

 Determining data analysis

Anova: Single Factor SUMMARY Groups Count Sum Average Variance Initial Score 8 34.01 4.25125 0.9606125 End Score 8 35.99 4.49875 0.511183929 Post Score 8 37.05 4.63125 0.810441071 ANOVA Source of Variation SS df MS F P-value F crit Between Groups 0.595233 33 2 0.297616667 0.391216953 0.68106 3.466800112 Within Groups 15.97566 25 21 0.760745833 Total 16.57089 58 23

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STATS CONTINUED

 Future recommendations for research

t-Test: Paired Two Sample for Means Post Score Initial Score Mean 4.63125 4.25125 Variance 0.810441071 0.9606125 Observations 8 8 Pearson Correlation 0.926287305 Hypothesized Mean Difference df 7 t Stat 2.909581008 P(T<=t) one-tail 0.01133704 t Critical one-tail 1.894578605 P(T<=t) two-tail 0.02267408 t Critical two-tail 2.364624252

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PARTICIPANT FEEDBACK

 “I have more energy.” ~ K.D. Lang  “I feel more creative immediately following the group.” ~

Margaret Atwood

 “I feel more relaxed, calm, cool, and collected”~ Margaret

Atwood

 “I want to laugh more. I feel happier when I’m laughing.” ~

Mike Myers

 “I feel more at peace.” ~ K.D. Lang  “I feel like I’m in a better mood”~ Drake  “I feel more relaxed, I enjoy the relaxation at the end.” ~

K.D. Lang

 “I like being silly, it feels great.” ~ Pam Anderson

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FOLLOW-UP

 Difficulties and challenges  Questions, comments, feedback

Contact Information

Erin Langiano: erin.langiano@theroyal.ca Kellie Halligan: kellie.halligan@theroyal.ca