{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T07:07:47Z","timestamp":1788937667648,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100001455","name":"American Foundation for Suicide Prevention","doi-asserted-by":"publisher","award":["TBT\u20102\u20102007\u201021"],"award-info":[{"award-number":["TBT\u20102\u20102007\u201021"]}],"id":[{"id":"10.13039\/100001455","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burnout and mental distress among nurses are global public health epidemics that adversely affect nurse well\u2010being and healthcare quality. Evidence\u2010based, scalable mental health interventions are urgently needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the 3\u2010 and 6\u2010month outcomes of a randomized controlled trial (RCT) comparing a psychologically safe, digital mental health screening and referral program alone versus the same screening and referral program combined with the video\u2010based online MINDBODYSTRONG\u00a0(MBS) cognitive behavioral therapy (CBT)\u2010based skills\u2010building program among nurses at risk for mental distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>501 nurses were recruited from professional organizations and healthcare systems across the United States by email and randomized to either mental health screening and referral (standard care) or standard care plus the MBS cognitive behavioral skills\u2010building intervention (the intervention). All study activities were conducted remotely. Follow\u2010up surveys administered at 3\u2010 and 6\u2010months assessed anxiety, depression, suicidal ideation, burnout, healthy lifestyle beliefs, and healthy lifestyle behaviors using valid and reliable scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the screening and referral only group, participants in the intervention group had greater reductions in anxiety and depression and significantly greater increases in healthy lifestyle beliefs and behaviors at 3 and 6\u2009months post\u2010intervention. After controlling baseline risk, the intervention group had a lower risk of suicidal ideation than the screening and referral group at 3\u2009months (relative risk ratio [RRR]\u2009=\u20090.717; 95% CI: 0.320\u20131.606) and 6\u2009months (RRR\u2009=\u20090.329; 95% CI: 0.101\u20131.072). The intervention group also had a significantly lower risk of burnout at 6\u2009months (RRR: 0.698, 95% CI: 0.528, 0.929,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). Nurses who completed more MBS sessions had less suicidal ideation at 6\u2009months and those who completed more MBS skills\u2010building activities had less burnout at 3 and 6\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Action to Evidence<\/jats:title>\n                    <jats:p>Integrating psychologically safe mental health screening combined with the scalable online CBT\u2010based intervention, MBS, can produce sustained improvements in burnout, mental health symptoms, including suicidality, and healthy lifestyle beliefs and behaviors among nurses experiencing mental distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70171","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T07:01:35Z","timestamp":1788937295000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Digital Mental Health Screening Alone and With the Online MINDBODYSTRONG CBT\u2010Based Program on Burnout, Depression, Anxiety, Healthy Behaviors, and Suicidal Ideation in at\u2010Risk Nurses at 3\u2010 and 6\u2010Months Post\u2010Intervention: An\u00a0RCT"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4704-1198","authenticated-orcid":false,"given":"Bernadette Mazurek","family":"Melnyk","sequence":"first","affiliation":[{"name":"COPE2Thrive LLC  Powell Ohio USA"},{"name":"EBP Solutions LLC  Powell Ohio USA"},{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1459-181X","authenticated-orcid":false,"given":"Judy E.","family":"Davidson","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4217-1559","authenticated-orcid":false,"given":"Sharon","family":"Tucker","sequence":"additional","affiliation":[{"name":"University of Central Florida  Orlando Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3341-9185","authenticated-orcid":false,"given":"Sidney","family":"Zisook","sequence":"additional","affiliation":[{"name":"University of California San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2907-9088","authenticated-orcid":false,"given":"Alai","family":"Tan","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2114-0814","authenticated-orcid":false,"given":"Mickey","family":"Lin","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5422-5825","authenticated-orcid":false,"given":"Andrea","family":"Cooper","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1554-4115","authenticated-orcid":false,"given":"Cora","family":"Mayfield","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3034-6972","authenticated-orcid":false,"given":"Jacqueline","family":"Hoying","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5124-293X","authenticated-orcid":false,"given":"Alison F.","family":"Cuccia","sequence":"additional","affiliation":[{"name":"American Nurse Association Enterprise  Silver Spring Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12418"},{"issue":"8","key":"e_1_2_10_3_1","first-page":"495","article-title":"Causes and Adverse Impact of Physician Burnout: A Systematic Review","volume":"27","author":"Azam K.","year":"2017","journal-title":"Journal of the College of Physicians and Surgeons\u2013Pakistan"},{"key":"e_1_2_10_4_1","volume-title":"Cognitive Therapy of Depression","author":"Beck A. 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