Trial Outcomes & Findings for Elderly Demented Patients: Aromatherapy Complementary to Psychopharmacotherapy Psychological Disorders and BPSD Behavior (NCT NCT03662360)

NCT ID: NCT03662360

Last Updated: 2021-09-30

Results Overview

The Neuropsychiatric Inventory - Nursing Home Version (NPI-NH) test will characterize the neuropsychiatric and psychopathological symptoms of patients affected by dementia. Events as delirium, anxiety, depression, etc. will be recorded by the frequency (from 0, absence, to 4, high frequency) and the seriousness (from 0, absence, to 3, high). The total score of the NPI-NH is given by the frequency x (multiply) seriousness (total score for each event has a range from 0 to 12). The patient final score will be given by the sum of the score of the 12 events. For each patient will be given a total score from 0 to 144. NPI NH score has been collected in both control and aromatherapy groups at T1 and T3, in patients who needed and who did not needed Pro Re Nata.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

Time 1 (baseline) and Time 3 (day 7)

Results posted on

2021-09-30

Participant Flow

NPI NH\> or = 1 at T1 (NPI-NH score from 0 to 144, patients with a score from 1 to 144 have been enrolled)

Participant milestones

Participant milestones
Measure
GROUP A - Control Group
16 patients who respect the inclusion criteria, treated with psychotropic drugs Pro Re Nata.
GROUP B - Aromatherapy Group
16 patients included in the inclusion criteria, treated with psychotropic drugs Pro Re Nata and, in a complementary way, with diffusion aromatherapy essential oils: Following a specific schema, the randomization will be perfomed. Patients enrolled in Group B will receive in environmental diffusion two essential oils, to define their possible effectiveness in the control of the psychological and behavioural disorders
Overall Study
STARTED
16
16
Overall Study
COMPLETED
16
14
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
GROUP A - Control Group
n=16 Participants
16 patients who respect the inclusion criteria, treated with psychotropic drugs.
GROUP B - Aromatherapy Group
n=16 Participants
16 patients included in the inclusion criteria, treated with psychotropic drugs and, in a complementary way, with diffusion aromatherapy essential oils: Following a specific schema, the randomization will be perfomed. Patients enrolled in Group B will receive in environmental diffusion two essential oils, to define their possible effectiveness in the control of the psychological and behavioural disorders
Total
n=32 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=16 Participants
0 Participants
n=16 Participants
0 Participants
n=32 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=16 Participants
0 Participants
n=16 Participants
0 Participants
n=32 Participants
Age, Categorical
>=65 years
16 Participants
n=16 Participants
16 Participants
n=16 Participants
32 Participants
n=32 Participants
Sex: Female, Male
Female
15 Participants
n=16 Participants
7 Participants
n=16 Participants
22 Participants
n=32 Participants
Sex: Female, Male
Male
1 Participants
n=16 Participants
9 Participants
n=16 Participants
10 Participants
n=32 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Switzerland
16 participants
n=16 Participants
16 participants
n=16 Participants
32 participants
n=32 Participants
patients admitted to the geriatric acute ward in may-june 2018 CLM
16 participants
n=16 Participants
16 participants
n=16 Participants
32 participants
n=32 Participants
patients with diagnosis of dementia associated with BPSD or diagnosis made during hospitalization
16 participants
n=16 Participants
16 participants
n=16 Participants
32 participants
n=32 Participants

PRIMARY outcome

Timeframe: Time 1 (baseline) and Time 3 (day 7)

Population: All participants with NPI-NH evaluated at Time 1 and Time 3

The Neuropsychiatric Inventory - Nursing Home Version (NPI-NH) test will characterize the neuropsychiatric and psychopathological symptoms of patients affected by dementia. Events as delirium, anxiety, depression, etc. will be recorded by the frequency (from 0, absence, to 4, high frequency) and the seriousness (from 0, absence, to 3, high). The total score of the NPI-NH is given by the frequency x (multiply) seriousness (total score for each event has a range from 0 to 12). The patient final score will be given by the sum of the score of the 12 events. For each patient will be given a total score from 0 to 144. NPI NH score has been collected in both control and aromatherapy groups at T1 and T3, in patients who needed and who did not needed Pro Re Nata.

Outcome measures

Outcome measures
Measure
GROUP A - Control Group
n=16 Participants
16 patients who respect the inclusion criteria, treated with psychotropic drugs Pro Re Nata.
GROUP B - Aromatherapy Group
n=14 Participants
16 patients included in the inclusion criteria, treated with psychotropic drugs Pro Re Nata and, in a complementary way, with diffusion aromatherapy essential oils: Following a specific schema, the randomization will be perfomed. Patients enrolled in Group B will receive in environmental diffusion two essential oils, to define their possible effectiveness in the control of the psychological and behavioural disorders
Role of Essential Oil Therapy in Environmental Diffusion as a Complement of Psychotropic Drugs in the Management of Psychological and Behavioral Disorders (BPSD)
T1 NPI score in patients do not need Pro Re Nata
21.81 score on a scale
Interval 6.0 to 42.0
25.93 score on a scale
Interval 9.0 to 60.0
Role of Essential Oil Therapy in Environmental Diffusion as a Complement of Psychotropic Drugs in the Management of Psychological and Behavioral Disorders (BPSD)
T3 NPI score in patients needed Pro Re Nata
32.87 score on a scale
Interval 18.0 to 51.0
16.5 score on a scale
Interval 9.0 to 33.0
Role of Essential Oil Therapy in Environmental Diffusion as a Complement of Psychotropic Drugs in the Management of Psychological and Behavioral Disorders (BPSD)
T3 NPI score in patients do not need Pro Re Nata
20.00 score on a scale
Interval 5.0 to 42.0
7.25 score on a scale
Interval 5.0 to 10.0

SECONDARY outcome

Timeframe: Time 1 (baseline) and Time 3 (day 7)

Population: To evaluate the physicians, nurses and nursing assistants distress, both control and aromatherapy group were subdivided into two groups: use or not use of PNR. PNR was used at T3, so the difference between T1 and T3 was a comparison to evaluate the evolution of distress.

NPI-NH assess the psychological distress in physicians, nurses and nursing assistants who managed the patients. It has a score from 0 (no discomfort) to score of 5 (extreme discomfort). The psychological distress is measured for each of the 12 events in the NPI-NH scale, for a total score from 0 to 60.

Outcome measures

Outcome measures
Measure
GROUP A - Control Group
n=16 Participants
16 patients who respect the inclusion criteria, treated with psychotropic drugs Pro Re Nata.
GROUP B - Aromatherapy Group
n=14 Participants
16 patients included in the inclusion criteria, treated with psychotropic drugs Pro Re Nata and, in a complementary way, with diffusion aromatherapy essential oils: Following a specific schema, the randomization will be perfomed. Patients enrolled in Group B will receive in environmental diffusion two essential oils, to define their possible effectiveness in the control of the psychological and behavioural disorders
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T1 NPI NH physicians in pts with PRN
4.19 score on a scale
Interval 0.0 to 18.0
5.64 score on a scale
Interval 0.0 to 15.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T1 NPI NH physicians in pts without PRN
1.60 score on a scale
Interval 0.0 to 9.0
4.13 score on a scale
Interval 0.0 to 20.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T1 NPI NH nurses in pts with PRN
9.63 score on a scale
Interval 0.0 to 25.0
11.64 score on a scale
Interval 0.0 to 21.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T1 NPI NH nurses in pts without PRN
6.40 score on a scale
Interval 0.0 to 14.0
10.13 score on a scale
Interval 0.0 to 27.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T1 NPI NH nursing assistants in pts with PRN
11.00 score on a scale
Interval 0.0 to 27.0
12.21 score on a scale
Interval 0.0 to 23.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T1 NPI NH nursing assistants in pts without PRN
7.10 score on a scale
Interval 0.0 to 15.0
10.88 score on a scale
Interval 0.0 to 31.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T3 NPI NH physician in pts with PRN
6.00 score on a scale
Interval 0.0 to 21.0
2.64 score on a scale
Interval 0.0 to 15.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T3 NPI NH physician in pts without PRN
3.20 score on a scale
Interval 0.0 to 12.0
0.88 score on a scale
Interval 0.0 to 6.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T3 NPI NH nurses in pts with PRN
12.00 score on a scale
Interval 0.0 to 27.0
5.79 score on a scale
Interval 0.0 to 19.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T3 NPI NH nurses in pts without PRN
9.30 score on a scale
Interval 0.0 to 19.0
4.25 score on a scale
Interval 0.0 to 10.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T3 NPI NH nursing assistants in pts with PRN
13.19 score on a scale
Interval 0.0 to 28.0
5.93 score on a scale
Interval 0.0 to 19.0
Role of Essential Oil Therapy in Environmental Diffusion in Professional Caregiver Distress Linked to BPSD
T3 NPI NH nursing assistants in pts without PRN
9.90 score on a scale
Interval 0.0 to 19.0
4.38 score on a scale
Interval 0.0 to 10.0

Adverse Events

GROUP A - Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

GROUP B - Aromatherapy Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Med. Pio Fontana

Clinica Luganese Moncucco

Phone: 0041919608712

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place