Aromatherapy in Total Knee Replacement

NCT ID: NCT06045078

Last Updated: 2025-01-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-03

Study Completion Date

2024-04-01

Brief Summary

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The purpose of this pilot randomized controlled trial is to investigate the effects of aromatherapy on postoperative anxiety and pain in total knee replacement patients. The primary research questions are:

Does Lavender-Peppermint Aromatherapy reduce post operative anxiety in patients after primary total knee replacement when compared to placebo?

Does Lavender-Peppermint Aromatherapy reduce post operative pain in patient after primary total knee replacement when compared to placebo?

Participants will be assigned to one of the following groups at random:

* Intervention: Aromatherapy with the lavender-peppermint scent
* Control: Aromatherapy with the almond oil scent

Participants will also be asked to complete pre- and post-operative questionnaires.

Researchers will compare both groups (intervention vs control) to see if aromatherapy reduces post-operative anxiety and/or pain.

Detailed Description

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Preoperative depression, anxiety, and catastrophizing have all been linked to an increase in postoperative pain and opiate use. Although aromatherapy, specifically lavender, may lower anxiety, no placebo-controlled trial has been undertaken to establish Aromatherapy's therapeutic promise for anxiety after total knee replacement. Although peppermint has been demonstrated to reduce nausea and vomiting, it has not been tested in this population for post-operative nausea and vomiting (PONV). The purpose of this pilot randomized controlled study is to determine the effectiveness of Lavender-Peppermint in reducing post-operative anxiety and discomfort in patients following unilateral primary knee replacement surgery.

The primary research questions are:

Does Lavender-Peppermint Aromatherapy reduce post operative anxiety in patients after primary total knee replacement when compared to placebo?

Does Lavender-Peppermint Aromatherapy reduce post operative pain in patient after primary total knee replacement when compared to placebo?

Participants will be assigned to one of the following groups at random:

* Intervention: Aromatherapy in the lavender-peppermint scent
* Control: Aromatherapy in the almond oil scent

Participants will also be asked to complete pre- and post-operative questionnaires via the following surveys/questionnaires:

* State-Trait Anxiety Inventory Short Form
* PROMIS Anxiety v1.0 (short form 8a)
* PROMIS Depression v1.0 (short form 8a)
* PROMIS Pain Interference v1.1 (short form 6b)
* Pain Catastrophizing Scale
* Pain Rating Scale in Numeric Form
* Opioid Consumption
* Opioid Related Symptoms Distress Scale
* Adverse Events
* Aromatherapy Satisfaction Questionnaire
* Bang Blinding Index

Researchers will compare both groups (intervention vs control) to see if aromatherapy reduces post-operative anxiety and/or pain.

Conditions

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Total Knee Replacement Post-operative Nausea and Vomiting Opioid Use Anxiety Depression Post Operative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A pilot randomized controlled trial
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators
Research staff (i.e. research assistants, coordinators, etc.)

Study Groups

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Lavender-Peppermint Aromatherapy Group

This is the interventional group. Participants in this group will receive aromatherapy tabs in the scent of lavender-peppermint. Tabs will be worn on a badge for a total of 72 hours, and participants will replace the aroma tabs every 12 hours.

Group Type EXPERIMENTAL

Elequil Lavender-peppermint Aromatabs

Intervention Type OTHER

100% pure essential oils Lavender-peppermint aromatabs purchased through Beekley Medical

Almond-oil Aromatherapy Group

This is the placebo group. Participants in this group will receive aromatherapy tabs in the scent of almond oil. Tabs will worn on a badge for a total of 72 hours, and participants will replace the aroma tabs every 12 hours.

Group Type PLACEBO_COMPARATOR

Elequil Almond-Oil Aromatabs

Intervention Type OTHER

100% pure essential oils Almond-oil aromatabs purchased through Beekley Medical

Interventions

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Elequil Lavender-peppermint Aromatabs

100% pure essential oils Lavender-peppermint aromatabs purchased through Beekley Medical

Intervention Type OTHER

Elequil Almond-Oil Aromatabs

100% pure essential oils Almond-oil aromatabs purchased through Beekley Medical

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 and ≤ 80
* Scheduled to undergo primary, unilateral knee replacement surgery
* Willing and able to provide informed consent
* Willing and able to complete follow-up procedures
* Intact olfactory function
* Score 19 or greater on the PROMIS Anxiety Shortform 8A

Exclusion Criteria

* Score \<19 on the PROMIS Emotional Distress - Anxiety - Short Form 8a
* Current major anxiety or depression
* Currently taking medications to treat anxiety
* Impaired sense of smell
* History of chronic pain with opioid use for greater than 3 months
* History of Drug or Alcohol abuse
* History of fibromyalgia
* History of G6PD deficiency
* Plant or tree nut allergy
* Severe allergy to Opioids, NSAIDS or local anesthetics (such as anaphylaxis)
* Severe liver disease, renal insufficiency (with inability to take acetaminophen or NSAIDS)
* Non-English Speaking
* Surgery requiring a hospitalization of greater than 3 days
* Patient refusal
* Current cardiac fibrillation
* Chronic opioid user (\>3 months)
* BMI ≥ 45
* Contraindication to neuraxial anesthesia
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital for Special Surgery, New York

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Uchenna Umeh, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital for Special Surgery, New York

Locations

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Hospital for Special Surgery

New York, New York, United States

Site Status

Countries

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United States

References

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Other Identifiers

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2023-1715

Identifier Type: -

Identifier Source: org_study_id

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