The Effects of Lavender Aromatherapy on Reducing Stress and Anxiety During MRI Procedures.

Overview

Research Question: What effect if any does the use of lavender aromatherapy have on a patient's stress and anxiety during the MRI procedure in the Cardiovascular Services Department? Hypothesis: 1. The use of lavender aromatherapy will reduce anxiety by 20% during MRI procedures. 2. MRI cancellations related to stress and anxiety will decrease by 10%. Sample size of 30 patients is needed for the control group and the lavender aromatherapy group, for a total of 60 patients. Rationale: Patients undergoing MRI procedures may experience stress and anxiety related to the small and confining space required during the scan. Anyone with a history of claustrophobia, panic attacks, or fear of enclosed spaces is more likely to experience symptoms of panic, fear, or anxiety during the MRI procedure (Harris, Cumming, & Menzies, 2004, p. 1). This stress and anxiety may cause the patient to abort the scan, the patient may refuse future scans, or the patient's nervous tremors or involuntary quivering may adversely affect the images obtained. Lavender aromatherapy has been shown to reduce stress and anxiety for patients in other settings; however, its use during MRI procedures has not been studied. This project investigates the use of lavender aromatherapy as a non-pharmacological way to help patients relax during their MRI procedure. Lavender aromatherapy has been studied and shown to reduce stress and anxiety for patients in other situations, but it has not been studied during MRI procedures. Lavender is known to be uplifting, as well as soothing and helpful for reducing stress, anxiety, depression, and insomnia (Herz, 2007, p. 264). If aromatherapy proves useful as an agent to reduce stress and anxiety, patient satisfaction with their MRI procedure will increase and the need for sedating medication could decrease.

Full Title of Study: “The Effects of Lavender Aromatherapy on the Reduction of Stress and Anxiety During MRI Procedures. A Randomized Study Comparing the Use of Lavender Aromatherapy to no Aromatherapy.”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: June 2013

Interventions

  • Other: Lavender aromatherapy inhalers
    • Patients will self-administer lavender aromatherapy from hand held inhalers containing lavender essential oil.

Arms, Groups and Cohorts

  • Active Comparator: Lavender Aromatherapy Inhalers
    • Lavender Aromatherapy Inhalers
  • No Intervention: No aromatherapy
    • No aromatherapy

Clinical Trial Outcome Measures

Primary Measures

  • Comparison between patients using aromatherapy and those without aromatherapy
    • Time Frame: Within one hour following the MRI procedure
    • A comparison will be made between the two groups, one group using lavender aromatherapy and one group without aromatherapy. T-tests will be used to assess whether the two groups are statistically different from each other. Comparisons will be made by using information collected from the patient with this screening tool: (Patients will complete the screening tool before and after their MRI procedure.) State Trait Anxiety Scale (State portion only)

Secondary Measures

  • The number of MRI cancellations related to patient stress and anxiety will be compared between the aromatherapy group and those without aromatherapy.
    • Time Frame: Up to 16 weeks
    • A simple comparison will be made using the percentage of cancellations in each group of patients, the group using aromatherapy and those without aromatherapy.
  • Comparison between patients using aromatherapy and those without aromatherapy
    • Time Frame: Within one hour following the MRI procedure
    • A comparison will be made between the two groups, one group using lavender aromatherapy and one group without aromatherapy. T-tests will be used to assess whether the two groups are statistically different from each other. Comparisons will be made by using information collected from the patient with this screening tool: (Patients will complete the screening tool before and after their MRI procedure.) Perceived Stress Scale
  • Comparison between patients using aromatherapy and those without aromatherapy
    • Time Frame: Within one hour following the MRI procedure
    • A comparison will be made between the two groups, one group using lavender aromatherapy and one group without aromatherapy. T-tests will be used to assess whether the two groups are statistically different from each other. Comparisons will be made by using information collected from the patient with this screening tool: (Patients will complete the screening tool before and after their MRI procedure.) Visual Analog Scale for anxiety – VAS, 0-10

Participating in This Clinical Trial

Inclusion Criteria

  • English speaking – Able to voluntarily provide consent – Undergoing elective MRI procedure Exclusion Criteria:

  • Lavender sensitivity or allergy

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Allina Health System
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Carol H Machemer, BSN, Principal Investigator, Allina Health System

References

Harris LM, Cumming SR, Menzies RG. Predicting anxiety in magnetic resonance imaging scans. Int J Behav Med. 2004;11(1):1-7. doi: 10.1207/s15327558ijbm1101_1.

Herz RS. Aromatherapy facts and fictions: a scientific analysis of olfactory effects on mood, physiology and behavior. Int J Neurosci. 2009;119(2):263-90. doi: 10.1080/00207450802333953.

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