Effects of Aromatherapy on the Headache and Service Quality Among Nurses Working in Critical Care Nurses Units.

NCT ID: NCT03867864

Last Updated: 2019-03-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-15

Study Completion Date

2019-12-31

Brief Summary

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Background: Our pilot study showed that the prevalence of headaches is 43.5% among nurses working in critical care units in a medical center in Taiwan. In the pilot study, 70% nurses with headache are willing to participate in this intervention study with essential oil. The effect of aromatherapy (essential oils through smelling) is convenient for nurses but still lacks strong evidences regarding relieving headaches.

Purpose: Thus, in this intervention study, we will examine whether the necklace with essential oil can (1) improve the pain intensity and frequency of headache; (2) reduce the score of headache disability inventory (HDI) and (3) improve the nurses' quality of life and care quality.

Method: Cluster randomized control trial from 16 critical care units at a medical center in Taiwan. The International Classification of Headache Disorders (ICHD, 3rd edition) was used to identify the headache type as "migraine" or "tension-type headache." We will recruit the nurses from 16 critical care units who has migraine or tension-type headache and cluster random assign (according to the ward unit) to group A and B. The intervention of necklace with essential oil will use to compare with the other group. According to power analysis and possible attrition rate, 103 nurses will be recruited. All participants will be asked to complete self-administrated questionnaires, including headache information questions, headache disability inventory (HDI), Migraine Specific Quality of Life Questionnaire version 2.1 (MSQv2.1), Copenhagen burnout inventory (CBI), Service Quality Scale (SERVQUAL), Intention to leave inventory (ITL), Depression, Anxiety and Stress Scale (DASS-21), Tasks Undone-13 (TU-13). The quantitative data will analyze by percentage, mean, standard deviation, chi-square test, and generalized estimating equation (GEE).

Expected outcomes and future implications: The aromatherapy (necklace with essential oil) can reduce the pain intensity, frequency, disability of headaches, as well as enhance nurses' quality of life and care quality.

Detailed Description

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This study adopts an experimental design with cluster randomization based on the ward unit. Eligible subjects are diagnosed migraine or tension-type headache nurses who are working in the critical care units and also have nurse license. Before conducting this study, the study has been approved by the institutional review board (IRB). The researcher (co-PI) and research assistances will approach potential participants during the ward meeting and invite them to participate in the study. Potential participants would be informed of the study purposes and interventions process, and be assessed and confirmed their type of headache. After completing the written-informed consent, the interventions will be arranged. In order to control the quality of data collection, PI and co-PI have trained the research assistants. Research training included standardized research process and ethical concerns about collection of research data, methods of approaching eligible subjects, interviewing techniques of data collection.

Conditions

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Headache, Migraine Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators

Study Groups

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Group A

Group A participants will wear the necklace with essential oil for the first 4 weeks except take a shower or get to sleep. The participants will stop wearing the necklace for one week (the fifth week) for washout period, and then wear the necklace without essential oil for last 4 weeks (the sixth to ninth weeks).

Group Type EXPERIMENTAL

Necklace with essential oil for the first 4 weeks

Intervention Type DEVICE

The necklaces contain essential oil.

Washout

Intervention Type OTHER

Washout (do not wear the necklace) for one week for two groups, then two groups cross-over.

Necklace without essential oil for last 4 weeks

Intervention Type DEVICE

The necklaces do not contain essential oil.

Group B

The group B will wear the necklace without essential oil for the first 4 weeks except take a shower or get to sleep. The participants will stop wearing the necklace for one week (the fifth week) for washout period, and then wear the necklace with essential oil for last 4 weeks (the sixth to ninth weeks).

Group Type OTHER

Necklace without essential oil for the first 4 weeks

Intervention Type DEVICE

The necklaces do not contain essential oil.

Washout

Intervention Type OTHER

Washout (do not wear the necklace) for one week for two groups, then two groups cross-over.

Necklace with essential oil for last 4 weeks

Intervention Type DEVICE

The necklaces contain essential oil.

Interventions

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Necklace with essential oil for the first 4 weeks

The necklaces contain essential oil.

Intervention Type DEVICE

Necklace without essential oil for the first 4 weeks

The necklaces do not contain essential oil.

Intervention Type DEVICE

Washout

Washout (do not wear the necklace) for one week for two groups, then two groups cross-over.

Intervention Type OTHER

Necklace with essential oil for last 4 weeks

The necklaces contain essential oil.

Intervention Type DEVICE

Necklace without essential oil for last 4 weeks

The necklaces do not contain essential oil.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Registered nurses, working in intensive care units (ICU) or department of emergency (ED).
* The frequency of headaches more than three times per month.
* The type of headache is migraine or frequent episodic tension-type headache, which is defined by the Headache Classification Committee of the International Headache Society. If the symptoms of a headache cannot be defined, the investigator will refer the potential participant to a neurologist for further diagnosis.

Exclusion Criteria

* Current user of other kinds of essential oils (e.g., the external application on skin, sniffing), and do not willing to temporarily suspend for nine weeks.
* Having sensitive responses to the essential oil.
* Pregnancy or preparing for pregnancy.
* Breastfeeding.
* The type of headache was neither migraine nor frequent episodic tension-type headache after diagnosed by the neurologist.
* With hepatic or renal diseases.
* taking medicine for long-term (such as Aspirin, anti-coagulant, medication for mental disorders, contraceptives, etc.).
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hao-Yuan Chang, Asst. Prof.

Role: STUDY_CHAIR

School of Nursing, College of Medicine, National Taiwan University

Central Contacts

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Hao-Yuan Chang, Asst. Prof.

Role: CONTACT

+886-2-23123456 ext. 88893

References

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Yeh, W. Y., Cheng, Y. W., Chen, M. J., Chiu, H. W. (2008). Development and validation of an occupational burnout inventory. Taiwan Journal of Public Health, 27(5),349-464.

Reference Type BACKGROUND

Yang, W. C., Hu, C. H., Wu, I, T. (2014). This study the relationship of working hours, stress studies and workplace fatigue in nursing staff. Journal of Sport and Recreation Management, 11 (1), 114-131.

Reference Type BACKGROUND

Bagley CL, Rendas-Baum R, Maglinte GA, Yang M, Varon SF, Lee J, Kosinski M. Validating Migraine-Specific Quality of Life Questionnaire v2.1 in episodic and chronic migraine. Headache. 2012 Mar;52(3):409-21. doi: 10.1111/j.1526-4610.2011.01997.x. Epub 2011 Sep 19.

Reference Type BACKGROUND
PMID: 21929662 (View on PubMed)

French DJ, Holroyd KA, Pinell C, Malinoski PT, O'Donnell F, Hill KR. Perceived self-efficacy and headache-related disability. Headache. 2000 Sep;40(8):647-56. doi: 10.1046/j.1526-4610.2000.040008647.x.

Reference Type BACKGROUND
PMID: 10971661 (View on PubMed)

Lovibond, S. H., & Lovibond, P. F.(2004). Manual for the depression anxiety stress scale. (2nd Ed.). Sydney, Australia: Psychology Foundation Monograph.

Reference Type BACKGROUND

Mason, M. (1996). Aromatherapy and midwifery. Aromatherapy. Quarterly spring issue, 32-34.

Reference Type BACKGROUND

Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975 Sep;1(3):277-299. doi: 10.1016/0304-3959(75)90044-5.

Reference Type BACKGROUND
PMID: 1235985 (View on PubMed)

Moussa, M.T., Lovibond, P.F. & Laube, R. (2001). Psychometric properties of a Chinese version of the short Depression Anxiety Stress Scales (DASS21). Report for New South Wales Transcultural Mental Health Centre, Cumberland Hospital, Sydney.

Reference Type BACKGROUND

Teng CI, Lotus Shyu YI, Chang HY. Moderating effects of professional commitment on hospital nurses in Taiwan. J Prof Nurs. 2007 Jan-Feb;23(1):47-54. doi: 10.1016/j.profnurs.2006.10.002.

Reference Type BACKGROUND
PMID: 17292133 (View on PubMed)

Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, Giovannetti P, Hunt J, Rafferty AM, Shamian J. Nurses' reports on hospital care in five countries. Health Aff (Millwood). 2001 May-Jun;20(3):43-53. doi: 10.1377/hlthaff.20.3.43.

Reference Type BACKGROUND
PMID: 11585181 (View on PubMed)

Ball JE, Murrells T, Rafferty AM, Morrow E, Griffiths P. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014 Feb;23(2):116-25. doi: 10.1136/bmjqs-2012-001767. Epub 2013 Jul 29.

Reference Type BACKGROUND
PMID: 23898215 (View on PubMed)

Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs. 2009 Nov;65(11):2299-310. doi: 10.1111/j.1365-2648.2009.05090.x. Epub 2009 Sep 8.

Reference Type BACKGROUND
PMID: 19737326 (View on PubMed)

Schubert M, Glass TR, Clarke SP, Schaffert-Witvliet B, De Geest S. Validation of the Basel Extent of Rationing of Nursing Care instrument. Nurs Res. 2007 Nov-Dec;56(6):416-24. doi: 10.1097/01.NNR.0000299853.52429.62.

Reference Type BACKGROUND
PMID: 18004188 (View on PubMed)

Squires A, Aiken LH, van den Heede K, Sermeus W, Bruyneel L, Lindqvist R, Schoonhoven L, Stromseng I, Busse R, Brzostek T, Ensio A, Moreno-Casbas M, Rafferty AM, Schubert M, Zikos D, Matthews A. A systematic survey instrument translation process for multi-country, comparative health workforce studies. Int J Nurs Stud. 2013 Feb;50(2):264-73. doi: 10.1016/j.ijnurstu.2012.02.015. Epub 2012 Mar 23.

Reference Type BACKGROUND
PMID: 22445444 (View on PubMed)

Other Identifiers

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201710020RINA

Identifier Type: -

Identifier Source: org_study_id

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