Three-dimensional Virtual Reality and Hands-on Aromatherapy
Effectiveness of a Combination of Three-dimensional Virtual Reality and Hands-on Aromatherapy in Improving Institutionalized Older Adults' Psychological Health
1 other identifier
interventional
48
1 country
1
Brief Summary
A quasi-experimental trial was designed to evaluate the effectiveness of this combination in promoting happiness, perceived stress, sleep quality, experience on meditation, and life satisfaction among institutionalized older adults in Taiwan.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2019
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedFirst Submitted
Initial submission to the registry
March 24, 2020
CompletedFirst Posted
Study publicly available on registry
March 27, 2020
CompletedApril 8, 2026
April 1, 2026
9 months
March 24, 2020
April 7, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Happiness
The Oxford Happiness Inventory (OHI) was used to measure happiness. The OHI consists of 29 items, Each item was scored on a Likert-type scale of 1-4, with higher scores indicating a higher level of happiness.
nine weeks
Perceived stress
The Perceived Stress Scale (PSS-14) consists of 14 items. Each item was scored on a Likert-type scale that ranged from 0 (never) to four (very often). With higher scores indicating a higher level of stress.
nine week
Sleep quality
The Pittsburgh sleep quality index (PSQI) was consists of 14 items. Each item was scored on a Likert-type scale that ranged from 1 to 4, with higher scores indicating a lower level of sleep quality.
nine weeks
Experience on meditation
A shortened version of the 10-item Experience on meditation (EOM-EL). Each item was scored on a Likert-type scale of 1-5, with higher scores indicating a higher level of experience on meditation.
nine weeks
Life satisfaction
This scale is a short-form version containing 10 items from the 20-item Life Satisfaction Index A (LSIA). The response options for scoring were 0 indicating "Disagree" and 1 indicating "Agree". The total raw scores ranged from 0 to 10, with higher scores indicating a higher level of life satisfaction.
nine weeks
Study Arms (2)
Experimental group
EXPERIMENTAL3D virtual reality and hands-on aromatherapy
Control group
NO INTERVENTIONNo intervention
Interventions
Participants will receive 8-session 3DVR aroma therapy activities. Each session was delivered over 2 hours once a week, and at each session, the participant received hands-on guidance for preparing an aromatherapy product that they could use for the next seven days.
Eligibility Criteria
You may qualify if:
- An ability to understand verbal instructions
- An ability to provide simple responses
- An ability to operate a joystick freely with at least one hand
You may not qualify if:
- A history of severe psychiatric conditions;
- Dementia
- Significant visual or hearing impairment;
- Marked upper motor difficulties that could affect the participants' ability to participate in the study
- Currently suffering from severe illnesses, e.g., stroke and Parkinson disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Taiwan Normal University
Taipei, Taiwan
Related Publications (24)
Tsai YF, Wong TK, Ku YC. Self-care management of sleep disturbances and risk factors for poor sleep among older residents of Taiwanese nursing homes. J Clin Nurs. 2008 May;17(9):1219-26. doi: 10.1111/j.1365-2702.2007.02020.x. Epub 2008 Feb 11.
PMID: 18266847BACKGROUNDGueldner SH, Loeb S, Morris D, Penrod J, Bramlett M, Johnston L, Schlotzhauer P. A comparison of life satisfaction and mood in nursing home residents and community-dwelling elders. Arch Psychiatr Nurs. 2001 Oct;15(5):232-40. doi: 10.1053/apnu.2001.27020.
PMID: 11584352BACKGROUNDLehrner J, Marwinski G, Lehr S, Johren P, Deecke L. Ambient odors of orange and lavender reduce anxiety and improve mood in a dental office. Physiol Behav. 2005 Sep 15;86(1-2):92-5. doi: 10.1016/j.physbeh.2005.06.031.
PMID: 16095639BACKGROUNDSnow LA, Hovanec L, Brandt J. A controlled trial of aromatherapy for agitation in nursing home patients with dementia. J Altern Complement Med. 2004 Jun;10(3):431-7. doi: 10.1089/1075553041323696.
PMID: 15253846BACKGROUNDKim S, Song JA, Kim ME, Hur MH. [Effects of Aromatherapy on Menopausal Symptoms, Perceived Stress and Depression in Middle-aged Women: A Systematic Review]. J Korean Acad Nurs. 2016 Oct;46(5):619-629. doi: 10.4040/jkan.2016.46.5.619. Korean.
PMID: 27857006BACKGROUNDTang SK, Tse MY. Aromatherapy: does it help to relieve pain, depression, anxiety, and stress in community-dwelling older persons? Biomed Res Int. 2014;2014:430195. doi: 10.1155/2014/430195. Epub 2014 Jul 13.
PMID: 25114901BACKGROUNDKim ME, Jun JH, Hur MH. [Effects of Aromatherapy on Sleep Quality: A Systematic Review and Meta-Analysis]. J Korean Acad Nurs. 2019 Dec;49(6):655-676. doi: 10.4040/jkan.2019.49.6.655. Korean.
PMID: 31932562BACKGROUNDRedstone L. Mindfulness meditation and aromatherapy to reduce stress and anxiety. Arch Psychiatr Nurs. 2015 Jun;29(3):192-3. doi: 10.1016/j.apnu.2015.03.001. Epub 2015 Mar 13. No abstract available.
PMID: 26001720BACKGROUNDLua PL, Salihah N, Mazlan N. Effects of inhaled ginger aromatherapy on chemotherapy-induced nausea and vomiting and health-related quality of life in women with breast cancer. Complement Ther Med. 2015 Jun;23(3):396-404. doi: 10.1016/j.ctim.2015.03.009. Epub 2015 Apr 21.
PMID: 26051575BACKGROUNDHsu MC, Creedy D, Moyle W, Venturato L, Tsay SL, Ouyang WC. Use of Complementary and Alternative Medicine among adult patients for depression in Taiwan. J Affect Disord. 2008 Dec;111(2-3):360-5. doi: 10.1016/j.jad.2008.03.010. Epub 2008 Apr 28.
PMID: 18442859BACKGROUNDYang YP, Lee FP, Chao HC, Hsu FY, Wang JJ. Comparing the Effects of Cognitive Stimulation, Reminiscence, and Aroma-Massage on Agitation and Depressive Mood in People With Dementia. J Am Med Dir Assoc. 2016 Aug 1;17(8):719-24. doi: 10.1016/j.jamda.2016.03.021. Epub 2016 May 7.
PMID: 27168052BACKGROUNDHwang E, Shin S. The effects of aromatherapy on sleep improvement: a systematic literature review and meta-analysis. J Altern Complement Med. 2015 Feb;21(2):61-8. doi: 10.1089/acm.2014.0113. Epub 2015 Jan 13.
PMID: 25584799BACKGROUNDBabakhanian M, Ghazanfarpour M, Kargarfard L, Roozbeh N, Darvish L, Khadivzadeh T, Dizavandi FR. Effect of Aromatherapy on the Treatment of Psychological Symptoms in Postmenopausal and Elderly Women: A Systematic Review and Meta-analysis. J Menopausal Med. 2018 Aug;24(2):127-132. doi: 10.6118/jmm.2018.24.2.127. Epub 2018 Aug 31.
PMID: 30202763BACKGROUNDChang SY. [Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer]. Taehan Kanho Hakhoe Chi. 2008 Aug;38(4):493-502. doi: 10.4040/jkan.2008.38.4.493. Korean.
PMID: 18753801BACKGROUNDWilkinson SM, Love SB, Westcombe AM, Gambles MA, Burgess CC, Cargill A, Young T, Maher EJ, Ramirez AJ. Effectiveness of aromatherapy massage in the management of anxiety and depression in patients with cancer: a multicenter randomized controlled trial. J Clin Oncol. 2007 Feb 10;25(5):532-9. doi: 10.1200/JCO.2006.08.9987.
PMID: 17290062BACKGROUNDTiran D, Chummun H. Complementary therapies to reduce physiological stress in pregnancy. Complement Ther Nurs Midwifery. 2004 Aug;10(3):162-7. doi: 10.1016/j.ctnm.2004.03.006.
PMID: 15279857BACKGROUNDAtsumi T, Tonosaki K. Smelling lavender and rosemary increases free radical scavenging activity and decreases cortisol level in saliva. Psychiatry Res. 2007 Feb 28;150(1):89-96. doi: 10.1016/j.psychres.2005.12.012. Epub 2007 Feb 7.
PMID: 17291597BACKGROUNDSmith MC, Kyle L. Holistic foundations of aromatherapy for nursing. Holist Nurs Pract. 2008 Jan-Feb;22(1):3-9; quiz 10-1. doi: 10.1097/01.HNP.0000306321.03590.32.
PMID: 18172401BACKGROUNDSayorwan W, Siripornpanich V, Piriyapunyaporn T, Hongratanaworakit T, Kotchabhakdi N, Ruangrungsi N. The effects of lavender oil inhalation on emotional states, autonomic nervous system, and brain electrical activity. J Med Assoc Thai. 2012 Apr;95(4):598-606.
PMID: 22612017BACKGROUNDBouya S, Ahmadidarehsima S, Badakhsh M, Balouchi A, Koochakzai M. Effect of aromatherapy interventions on hemodialysis complications: A systematic review. Complement Ther Clin Pract. 2018 Aug;32:130-138. doi: 10.1016/j.ctcp.2018.06.008. Epub 2018 Jun 13.
PMID: 30057040BACKGROUNDKim MJ, Nam ES, Paik SI. [The effects of aromatherapy on pain, depression, and life satisfaction of arthritis patients]. Taehan Kanho Hakhoe Chi. 2005 Feb;35(1):186-94. doi: 10.4040/jkan.2005.35.1.186. Korean.
PMID: 15778570BACKGROUNDSoden K, Vincent K, Craske S, Lucas C, Ashley S. A randomized controlled trial of aromatherapy massage in a hospice setting. Palliat Med. 2004 Mar;18(2):87-92. doi: 10.1191/0269216304pm874oa.
PMID: 15046404BACKGROUNDShin ES, Seo KH, Lee SH, Jang JE, Jung YM, Kim MJ, Yeon JY. Massage with or without aromatherapy for symptom relief in people with cancer. Cochrane Database Syst Rev. 2016 Jun 3;2016(6):CD009873. doi: 10.1002/14651858.CD009873.pub3.
PMID: 27258432BACKGROUNDCheng VY, Huang CM, Liao JY, Hsu HP, Wang SW, Huang SF, Guo JL. Combination of 3-Dimensional Virtual Reality and Hands-On Aromatherapy in Improving Institutionalized Older Adults' Psychological Health: Quasi-Experimental Study. J Med Internet Res. 2020 Jul 23;22(7):e17096. doi: 10.2196/17096.
PMID: 32706660DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jong-Long Guo
National Taiwan Normal University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 24, 2020
First Posted
March 27, 2020
Study Start
April 1, 2019
Primary Completion
December 31, 2019
Study Completion
December 31, 2019
Last Updated
April 8, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share