{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:12:45Z","timestamp":1777864365788,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Oncology nurses are frequently subjected to significant psychological stress due to the demanding nature of cancer care, which negatively impacts their mental and physical health as well as the quality of patient care. Although Mindfulness\u2010Based Stress Reduction has been demonstrated to be effective in alleviating stress, practitioners often encounter barriers such as limited engagement and difficulty maintaining regular practice.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To enhance engagement and adherence, we integrated art elements into the Mindfulness\u2010Based Stress Reduction framework, creating the Mindfulness\u2010Based art therapy program, and evaluated its effectiveness among oncology nurses.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A three\u2010arm randomized controlled trial.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n 90 oncology nurses participated (Mindfulness\u2010Based Art Therapy group\u2009=\u200930, Mindfulness\u2010Based Stress Reduction group\u2009=\u200930, waitlist controls group\u2009=\u200930) in an 8\u2010week program. Stress, anxiety, depression, fatigue, and mindfulness levels were assessed at baseline, immediately after the fourth week of intervention, and immediately after the intervention concluded. Compliance and satisfaction were evaluated using attendance rates and satisfaction questionnaires. Descriptive statistics were used to analyze general data; intervention effects were compared using one\u2010way ANOVA and generalized estimating equations, and compliance and satisfaction were compared using independent samples\n t<\/jats:italic>\n \u2010test.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Both Mindfulness\u2010Based Art Therapy and Mindfulness\u2010Based Stress Reduction significantly improved stress, physiological markers, and mindfulness vs. controls. Mindfulness\u2010Based Stress Reduction better reduced depression (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22122.980, 95% CI: \u22125.427, \u22120.533,\n p<\/jats:italic>\n \u2009=\u20090.017), while Mindfulness\u2010Based Art Therapy was superior for fatigue (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u221211.582, 95% CI: \u221220.615, \u22122.550,\n p<\/jats:italic>\n \u2009=\u20090.012). Mindfulness\u2010Based Art Therapy had higher adherence (93.3% vs. 73.3%,\n p<\/jats:italic>\n \u2009<\u20090.05) and satisfaction (3.27\u2009\u00b1\u20090.45 vs. 2.40\u2009\u00b1\u20090.52,\n p<\/jats:italic>\n \u2009=\u20090.01).\n <\/jats:p>\n <\/jats:sec>\n \n Linking Evidence to Action<\/jats:title>\n For oncology nurses, Mindfulness\u2010Based Art Therapy is as effective as Mindfulness\u2010Based Stress Reduction for improving stress and mindfulness, while providing greater adherence, satisfaction, and more consistent fatigue reduction.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n Chinese Clinical Trial Registry, ChiCTR2300078124 (\n http:\/\/www.chictr.org.cn<\/jats:ext-link>\n ), 30\/11\/2023\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/wvn.70132","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:50:08Z","timestamp":1774486208000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Mindfulness\u2010Based Art Therapy for Oncology Nurses: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1597-3177","authenticated-orcid":false,"given":"WenMin","family":"Wu","sequence":"first","affiliation":[{"name":"School of Nursing GuangZhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JingYi","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing GuangZhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Ye","sequence":"additional","affiliation":[{"name":"School of Nursing GuangZhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FangPing","family":"Duan","sequence":"additional","affiliation":[{"name":"Guangzhou Institute of Cancer Research, the Affiliated Cancer Hospital Guangzhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JiaLang","family":"Wang","sequence":"additional","affiliation":[{"name":"Guangzhou Institute of Cancer Research, the Affiliated Cancer Hospital Guangzhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Guangzhou Institute of Cancer Research, the Affiliated Cancer Hospital Guangzhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3085-7278","authenticated-orcid":false,"given":"Yun","family":"Gao","sequence":"additional","affiliation":[{"name":"School of Nursing GuangZhou Medical University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1535370219883634"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2937"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191111408231"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph120911072"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010042716\u2010051139"},{"issue":"4","key":"e_1_2_12_8_1","first-page":"343","article-title":"Arts, Brain and Cognition","volume":"28","author":"Demarin V.","year":"2016","journal-title":"Psychiatria Danubina"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u20103514.46.4.839"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010007\u20100280\u20105"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aip.2017.05.004"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000015836"},{"key":"e_1_2_12_13_1","first-page":"71","article-title":"Are All Measures Created Equal? 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