• Wells BM
• Nightingale LM
• Derby DC
• Salsbury SA
• Lawrence DJ

• Affiliation / Palmer College of Chiropractic
• Affiliation / Palmer College of Chiropractic. Palmer Center for Chiropractic Research
• Affiliation / Parker University
• Affiliation(G) / United States / Iowa / Davenport
• Affiliation(G) / United States / Texas / Dallas
• Anxiety
• Aromatherapy
• Education, Chiropractic
• Open Access Document
• Students, Chiropractic / United States
• Test Anxiety

Objective: Up to 85% of college students experience test anxiety, which may contribute to decreased academic performance. The purpose of this study was to assess the feasibility of recruiting chiropractic students for a randomized trial involving aromatherapy for anxiety reduction.

Methods: This study enrolled chiropractic students who were randomly assigned to separate rooms during a biochemistry test. Waterless diffusers dispersed a lemon and rosemary blend of essential oils in the experimental room and water in the control room. Students completed pretest surveys rating current and general anxiety. Posttest surveys included rating current anxiety. Analysis of covariance (ANCOVA) was preformed to determine within- and between-group differences for current anxiety. Feasibility was the primary aim, and the statistical significance of anxiety test scores between rooms was the secondary aim.

Results: Sixty-four students were included in the study. The feasibility of research methods was noted for adherence to the study protocol (informed consent, randomization, and survey distribution and completion) and resource allocation. Design improvements are required in recruitment methods, follow-up surveys, and intervention blinding. ANCOVA for between-group comparisons showed no statistically significant difference between groups' pre- and posttest anxiety scores (p = .22). Two reported side effects, eye and sinus irritation, could not be attributed to treatment group. Most students were willing to use aromatherapy for test anxiety in the future.

Conclusion: We demonstrated feasibility in conducting a randomized study to measure the influence of aromatherapy on test anxiety in chiropractic students. A powered, randomized study is needed to determine if aromatherapy may be effective in reducing test anxiety.

Author keywords: Education, Chiropractic, Aromatherapy, Educational Assessments

Author affiliations: BMW, LMN, DCD: Palmer College of Chiropractic, Davenport, Iowa, United States; SAS: Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa, United States; DL:  Parker University, Dallas, Texas, United States
Corresponding author: BMW—breanne.wells@palmer.edu

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