A randomised controlled trial of the use of aromatherapy and hand massage to reduce disruptive behaviour in people with dementia

BMC Complement Altern Med. 2013 Jul 10:13:165. doi: 10.1186/1472-6882-13-165.

Abstract

Background: Aromatherapy and hand massage therapies have been reported to have some benefit for people with dementia who display behavioural symptoms; however there are a number of limitations of reported studies. The aim is to investigate the effect of aromatherapy (3% lavender oil spray) with and without hand massage on disruptive behaviour in people with dementia living in long-term care.

Methods: In a single blinded randomised controlled trial 67 people with a diagnosis of dementia and a history of disruptive behaviour, from three long-term care facilities were recruited and randomised using a random number table into three groups: (1) Combination (aromatherapy and hand massage) (n = 22), (2) Aromatherapy (n = 23), (3) Placebo control (water spray) (n = 22). The intervention was given twice daily for six weeks. Data on residents' behaviour (CMAI) and cognition (MMSE) were collected before, during and after the intervention.

Results: Despite a downward trend in behaviours displayed not one of the interventions significantly reduced disruptive behaviour.

Conclusions: Further large-scale placebo controlled studies are required where antipsychotic medication is controlled and a comparison of the methods of application of aromatherapy are investigated.

Trial registration: ACTRN12612000917831.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aromatherapy*
  • Behavior
  • Cognition
  • Combined Modality Therapy
  • Dementia / psychology
  • Dementia / therapy*
  • Female
  • Humans
  • Lavandula
  • Male
  • Massage*
  • Middle Aged
  • Oils, Volatile / therapeutic use*
  • Plant Oils / therapeutic use*
  • Psychomotor Agitation / psychology
  • Psychomotor Agitation / therapy*
  • Treatment Outcome

Substances

  • Oils, Volatile
  • Plant Oils
  • lavender oil