CClinicalTrials.gg
CompletedNCT06400979Updated Jun 8, 2026Results posted

Aromatherapy for Management of Pain, Anxiety, and Nausea in the Acute Care Setting

An interventional study of Elequil aromatab in Effectiveness of Aromatherapy, sponsored by University of California, Davis. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by University of California, Davis · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 3 years 1 month after the study started (first participant enrolled Dec 2020, registered Jan 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
94
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this interventional study is to investigate the effects of aromatherapy on an acute care unit and whether it is effective in decreasing physical or emotional stressors that occur as a hospitalized patient. This study aimed to expand the limited literature on aromatherapy use in hospitalized adults and its effectiveness in decreasing pain, anxiety, and nausea. The hypothesis was that use of aromatherapy would decrease pain, anxiety and nausea in hospitalized adults and increase patient satisfaction. While there is anecdotal evidence of its efficacy, few studies exist evaluating its effectiveness within peer-reviewed journals, specifically on acute care medical surgical units.

Read the detailed description

The goal for the study was to collect a sample of one hundred adult patients admitted to an acute care medical surgical unit. A quasi-experimental study with a single-arm pre-/post-test design evaluated one-time use of inhaled aromatherapy on hospitalized adults on an acute care unit. Pre-test tools included a numeric pain rating scale, facial anxiety scale and Halpin's 0-5 nausea scale. Aromatherapy (Elequil aromatabs) was administered for 8 hours. Sleep, satisfaction, well-being, and concurrent medication use were assessed post-aromatherapy. Descriptive and inferential statistics were performed. These subjects had to be conscious, oriented, able to consent, and able to understand the purpose of the study. Exclusion criteria were otolaryngology free flap patients (as this was a study being conducted on an otolaryngology acute care unit and another study was occurring with this population), patients with known allergies to essential oils, those taking sleep medications, or who have an aroma/essential oil contraindication. The use of a pre and post survey was used to measure the effectiveness of aromatherapy on pain, anxiety, and nausea. A baseline assessment was made of these ailments via Qualtrix. Subjects chose the aromatherapy tab fragrance that best fit their chief complaint, which was placed on their gown. After eight hours, a post-application survey to assess pain, anxiety, nausea, sleep/relaxation, overall satisfaction, and overall wellbeing was administered via Qualtrix. A numeric pain scale from 0-10, a 0-5 Likert Anxiety scale and a 0-5 nausea scale were used to measure efficacy. Sleep, satisfaction, and wellbeing was assessed with yes/no. A chart review to determine any measurable benefits in the reduction of related medications while using aromatherapy was to be conducted once one hundred subjects were obtained. The period for this study was approximately fifteen months.

02

Conditions studied

  • Effectiveness of Aromatherapy

Keywords

  • aromatherapy
  • acute care unit
  • medical surgical unit
  • inhaled aromatherapy
03

In context

Lead sponsor

University of California, Davis is the lead sponsor of 798 studies on the registry; 146 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 43 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 18 years or older,
  • Admission to Tower 4 for an anticipated inpatient stay >24 hours,
  • Alert and oriented,
  • Capable of using a visual scale to self-report symptoms,
  • Naïve to the use of aromatherapy for the use of decreasing pain, anxiety and/or nausea to participate,
  • Not on a pediatric service.

Exclusion criteria

Exclusion Criteria:

  • Cognitively impaired,
  • Post-op from an otolaryngologic surgery (another study was being conducted concurrently with this patient population and we did not want to interfere with those results),
  • Known impaired olfactory function (limited or no sense of smell),
  • On any psychiatric holds (e.g., 5150's),
  • Known allergies to essential oils,
  • Sensitive or allergic to plants (specifically to lavender plants, orange blossoms, sandalwood trees, or peppermint leaves) as essential oils are natural aromas derived from plants,
  • Active participant of another Research Protocol,
  • Admitted as a "short stay" or on "observation" status,
  • Have a known history of Atrial Fibrillation. The use of peppermint has known effects on stimulating atrial fibrillation,
  • Is a prisoner,
  • Known pregnancy, or
  • Expected to be transferred out of Tower 4 and/or discharged from the hospital within twenty-four hours.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
94 participants (actual)

Study arms

  • Experimental
    Aromatherapy aromatab

    Interventional aromatherapy tab used to deliver inhaled aromatherapy to participants

    Device: Elequil aromatab

Interventions

  • DeviceElequil aromatab

    Aromatherapy impregnated tab utilized to dispense inhaled scent for the study

06

What researchers measure

Primary outcomes

  1. Numerical Rating Pain Scale

    The Numerical Rating Pain Scale measures pain experienced right now based on a 11-point Likert scale with choices of 0 = no pain, 5 = Moderate pain, 10 = Worst possible pain.

    Time frame: Pre-Post Aromatherapy Administration (8 hours)

  2. Nausea Scale

    Nausea Scale: 0-5 Nausea Scale. 0 - No nausea and 5 - severe nausea

    Time frame: Pre-Post Aromatherapy Administration (8 hours)

  3. Anxiety Likert Scale

    This one-item scale consisted of five evenly spaced numbers each anchored to a level of anxiety (0 = not at all anxious, 2 = a little anxious, 3 = moderately anxious, 4 = very anxious, 5 = extremely anxious).

    Time frame: Pre-Post Aromatherapy Admin (8 hours)

Secondary outcomes

  1. Patient Satisfaction

    The use of a post-survey to evaluate effectiveness of aromatherapy on patient satisfaction using a yes or no response.

    Time frame: 8 hours

  2. Well-being

    The use of a post-survey to evaluate effectiveness of aromatherapy on the subject's well-being using a yes or no response.

    Time frame: 8 hours

  3. Increased Sleep

    The use of a post-survey to evaluate effectiveness of aromatherapy in increasing sleep using a yes or no response.

    Time frame: 8 hours

07

Results

Posted Apr 18, 2025
Limitations and caveats
Limitations included slow enrollment, study design and missing post-test scores. We had a slow start with enrolling subjects as many patients either did not fit the eligibility criteria, or they were not interested. In addition, with the COVID pandemic, it made it even more difficult to enroll patients. Finding our requisite number of subjects was more challenging than expected.

Participant flow

The study took place from December 1, 2020 to May 1, 2022.This study aimed to collect a sample of one hundred adult patients admitted to an acute care medical surgical unit.

Participant flow — Overall Study
MilestoneAromatherapy Aromatab
Started94
Completed64
Not completed30
Withdrew: Lost to follow-up29
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryNumerical Rating Pain Scale

The Numerical Rating Pain Scale measures pain experienced right now based on a 11-point Likert scale with choices of 0 = no pain, 5 = Moderate pain, 10 = Worst possible pain.

Time frame:
Pre-Post Aromatherapy Administration (8 hours)
Reported as:
Mean · score on a scale
Numerical Rating Pain Scale
score on a scaleAromatherapy Aromatab
Pre-score for subjects utilizing Aromatherapy for pain5.7 ± 3.0
Post-score for subjects utilizing Aromatherapy for symptom management for pain5.3 ± 2.9
Pain: Post vs Pre-1 ± 2.9
Statistical analysis
  • Aromatherapy Aromatab · ANCOVA · p = 0.008
PrimaryNausea Scale

Nausea Scale: 0-5 Nausea Scale. 0 - No nausea and 5 - severe nausea

Time frame:
Pre-Post Aromatherapy Administration (8 hours)
Reported as:
Mean · score on a scale
Nausea Scale
score on a scaleAromatherapy Aromatab
Pre-score for subjects utilizing aromatherapy to decrease nausea1.5 ± 1.7
Post-score for subjects utilizing aromatherapy for symptom management for nausea1.2 ± 1.6
Statistical analysis
  • Aromatherapy Aromatab · ANCOVA · p = 0.13
PrimaryAnxiety Likert Scale

This one-item scale consisted of five evenly spaced numbers each anchored to a level of anxiety (0 = not at all anxious, 2 = a little anxious, 3 = moderately anxious, 4 = very anxious, 5 = extremely anxious).

Time frame:
Pre-Post Aromatherapy Admin (8 hours)
Reported as:
Mean · score on a scale
Anxiety Likert Scale
score on a scaleAromatherapy Aromatab
Pre-score for subjects utilizing aromatherapy to decrease anxiety2.6 ± 1.9
Post-score for subjects utilizing aromatherapy for symptom management for anxiety1.8 ± 1.6
Statistical analysis
  • Aromatherapy Aromatab · ANCOVA · p = <0.0001
SecondaryPatient Satisfaction

The use of a post-survey to evaluate effectiveness of aromatherapy on patient satisfaction using a yes or no response.

Time frame:
8 hours
Reported as:
Count of participants · Participants
Patient Satisfaction
ParticipantsAromatherapy Aromatab
Number of subjects utilizing aromatherapy resulting in an increase in patient satisfaction47
Number of subjects utilizing aromatherapy resulting in a decrease in patient satisfaction17
Number of unknown responses30
Statistical analysis
  • Aromatherapy Aromatab · t-test, 2 sided · p = 0.02
SecondaryWell-being

The use of a post-survey to evaluate effectiveness of aromatherapy on the subject's well-being using a yes or no response.

Time frame:
8 hours
Reported as:
Count of participants · Participants
Well-being
ParticipantsAromatherapy Aromatab
Number of subjects utilizing aromatherapy resulting in an increase in patient well-being50
Number of subjects utilizing aromatherapy resulting in a decrease in patient well-being19
Number of unknown responses25
Statistical analysis
  • Aromatherapy Aromatab · ANCOVA · p = 0.02
SecondaryIncreased Sleep

The use of a post-survey to evaluate effectiveness of aromatherapy in increasing sleep using a yes or no response.

Time frame:
8 hours
Reported as:
Count of participants · Participants
Increased Sleep
ParticipantsAromatherapy Aromatab
Number of subjects utilizing aromatherapy to measure its effectiveness on increasing sleep.55
Number of subjects utilizing aromatherapy resulting in a decrease in sleep.10
Number of unknown responses.29
Statistical analysis
  • Aromatherapy Aromatab · ANCOVA · p = 0.02

Adverse events

Collected over Adverse event data was collected for the duration of patient enrollment in the study (8 hours during hospitalization).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Aromatherapy Aromatab Used to Measure Effectiveness on Decreasing Pain0/94 (0%)0/94 (0%)0/94 (0%)
Most frequent serious events
Most frequent serious events
EventAromatherapy Aromatab Used to Measure Effectiveness on Decreasing Pain
Increased discomfortGeneral disorders0/94
Anaphylactic symptomsImmune system disorders0/94
Runny nose/ nasal congestion (sinus issues)Respiratory, thoracic and mediastinal disorders0/94
DermatitisSkin and subcutaneous tissue disorders0/94
RashSkin and subcutaneous tissue disorders0/94
Red or bumpy skin (indurations)Skin and subcutaneous tissue disorders0/94

Baseline characteristics

Of the 94 consented subjects, 64 subjects completed the study in its entirety, with both pre- and post-surveys administered.

Age, Customized
Age, Customized(Participants)Aromatherapy Aromatab
Age of Participant — >18 to 6580
Age of Participant — >6514
Sex/Gender, Customized
Sex/Gender, Customized(participants)Aromatherapy Aromatab
Female59
Male35
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Aromatherapy Aromatab
08

Study locations

1 site
  • UC Davis Medical Center
    Sacramento, California 95817, United States
09

References and documents

Publications

  • Frosch PJ, Johansen JD, Menne T, Pirker C, Rastogi SC, Andersen KE, Bruze M, Goossens A, Lepoittevin JP, White IR. Further important sensitizers in patients sensitive to fragrances. Contact Dermatitis. 2002 Nov;47(5):279-87. doi: 10.1034/j.1600-0536.2002.470204.x. PubMed 12534532 ↗
  • Bingham LJ, Tam MM, Palmer AM, Cahill JL, Nixon RL. Contact allergy and allergic contact dermatitis caused by lavender: A retrospective study from an Australian clinic. Contact Dermatitis. 2019 Jul;81(1):37-42. doi: 10.1111/cod.13247. Epub 2019 Apr 16. PubMed 30779160 ↗
  • Boehm K, Bussing A, Ostermann T. Aromatherapy as an adjuvant treatment in cancer care--a descriptive systematic review. Afr J Tradit Complement Altern Med. 2012 Jul 1;9(4):503-18. doi: 10.4314/ajtcam.v9i4.7. eCollection 2012. PubMed 23983386 ↗
  • Buckle J. The role of aromatherapy in nursing care. Nurs Clin North Am. 2001 Mar;36(1):57-72. PubMed 11342402 ↗
  • Johnson JR, Rivard RL, Griffin KH, Kolste AK, Joswiak D, Kinney ME, Dusek JA. The effectiveness of nurse-delivered aromatherapy in an acute care setting. Complement Ther Med. 2016 Apr;25:164-9. doi: 10.1016/j.ctim.2016.03.006. Epub 2016 Mar 7. PubMed 27062964 ↗
  • Cho MY, Min ES, Hur MH, Lee MS. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units. Evid Based Complement Alternat Med. 2013;2013:381381. doi: 10.1155/2013/381381. Epub 2013 Feb 17. PubMed 23476690 ↗
  • Cooke B, Ernst E. Aromatherapy: a systematic review. Br J Gen Pract. 2000 Jun;50(455):493-6. PubMed 10962794 ↗
  • Halpin A, Huckabay LM, Kozuki JL, Forsythe D. Weigh the benefits of using a 0-to-5 nausea scale. Nursing. 2010 Nov;40(11):18-20. doi: 10.1097/01.NURSE.0000389030.33760.7a. No abstract available. PubMed 20975423 ↗
  • Lakhan SE, Sheafer H, Tepper D. The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis. Pain Res Treat. 2016;2016:8158693. doi: 10.1155/2016/8158693. Epub 2016 Dec 14. PubMed 28070420 ↗
  • Lis-Balchin M. Essential oils and 'aromatherapy': their modern role in healing. J R Soc Health. 1997 Oct;117(5):324-9. doi: 10.1177/146642409711700511. PubMed 9519666 ↗
  • Long L, Huntley A, Ernst E. Which complementary and alternative therapies benefit which conditions? A survey of the opinions of 223 professional organizations. Complement Ther Med. 2001 Sep;9(3):178-85. doi: 10.1054/ctim.2001.0453. PubMed 11926432 ↗
  • Maddocks-Jennings W, Wilkinson JM. Aromatherapy practice in nursing: literature review. J Adv Nurs. 2004 Oct;48(1):93-103. doi: 10.1111/j.1365-2648.2004.03172.x. PubMed 15347415 ↗
  • Moeini M, Khadibi M, Bekhradi R, Mahmoudian SA, Nazari F. Effect of aromatherapy on the quality of sleep in ischemic heart disease patients hospitalized in intensive care units of heart hospitals of the Isfahan University of Medical Sciences. Iran J Nurs Midwifery Res. 2010 Fall;15(4):234-9. PubMed 22049287 ↗
  • Quinlan-Colwell AD. Understanding the paradox of patient pain and patient satisfaction. J Holist Nurs. 2009 Sep;27(3):177-82; quiz 183-5. doi: 10.1177/0898010109332758. Epub 2009 Jul 8. PubMed 19587387 ↗
  • Shin BC, Lee MS. Effects of aromatherapy acupressure on hemiplegic shoulder pain and motor power in stroke patients: a pilot study. J Altern Complement Med. 2007 Mar;13(2):247-51. doi: 10.1089/acm.2006.6189. PubMed 17388768 ↗
  • Vickers A. Yes, but how do we know it's true? Knowledge claims in massage and aromatherapy. Complement Ther Nurs Midwifery. 1997 Jun;3(3):63-5. doi: 10.1016/s1353-6117(97)80035-2. PubMed 9439251 ↗

Study documents

  • Study protocol · Feb 20, 2020
  • Informed consent form · Sep 18, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — We will not be sharing subject data after the conclusion of the study

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06400979
Lead sponsor
University of California, Davis
Collaborators
Beekley Medical
Responsible party
Sponsor
First posted
May 6, 2024
Start date
Dec 1, 2020
Primary completion
May 1, 2022
Completion
May 1, 2022
Results posted
Apr 18, 2025
Last update
Jun 8, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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