{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:26:37Z","timestamp":1786631197453,"version":"build-2736575974"},"reference-count":95,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Physicians and medical learners face high rates of burnout, anxiety, and depression due to the demanding nature of their work. Many are reluctant to seek support because of stigma, time constraints, and limited access to care. Cognitive Behavioral Therapy (CBT)-based supportive SMS messaging offers a promising, scalable alternative.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study evaluates the impact of Wellness4MDs, a CBT-based supportive messaging program, on the psychological health and well-being of physicians and medical learners in Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants subscribed to the Wellness4MDs program and received daily supportive SMS messages for 3\u202fmonths. Standardized self-rated web-based questionnaires assessing depression, anxiety, burnout symptoms were collected at baseline, 6\u202fweeks, and 3\u202fmonths using the PHQ-9, GAD-7, MBI, and WHO-5. Subscribers\u2019 satisfaction was measured using an online, self-developed questionnaire adapted from tools previously employed to assess similar programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 806 subscribers participated, with 226 completing the baseline survey. 66 participants completed surveys at all follow-up points, and 53 completed both baseline and at least one follow-up survey. At the three-month follow-up, there were statistically significant reductions in mean scores for emotional exhaustion (EE) and anxiety symptoms (GAD-7), with reduction from baseline of 16.1% (<jats:italic>t<\/jats:italic>\u202f=\u202f2.86, <jats:italic>p<\/jats:italic>\u202f=\u202f0.01) and 15.5% (<jats:italic>t<\/jats:italic>\u202f=\u202f2.05, <jats:italic>p<\/jats:italic>\u202f=\u202f0.05) with effect sizes of 0.4 and 0.3 respectively, indicating moderate effects. These reductions remained statistically significant when missing data were imputed using the last observation carried forward (LOCF) method. However, no significant changes were observed on the PHQ-9 scale. The overall mean satisfaction score for the Wellness4MDs program was 7.98 (SD\u202f=\u202f2.06). Most participants reported that the messages helped them cope with stress (72.7%), anxiety (70.5%), depression (51.1%), and loneliness (42.0%). Additionally, 71.6% felt more connected to a support system, and 78.4% reported improved overall mental well-being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Wellness4MDs demonstrated effectiveness in reducing emotional exhaustion and anxiety symptoms. Its high user satisfaction, accessibility, and low-cost delivery model make it a promising complement to traditional mental health services for healthcare professionals.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1629490","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T04:11:40Z","timestamp":1756959100000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Psychological health and wellness and the impact of 6\u202fweeks and 3\u202fmonths supportive text messaging program (Wellness4MDs) among physicians and medical learners in Canada: a longitudinal study"],"prefix":"10.3389","volume":"13","author":[{"given":"Samuel","family":"Obeng Nkrumah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reham","family":"Shalaby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Agyapong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ejemai","family":"Eboreime","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Kelderhouse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent Israel Opoku","family":"Agyapong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.jad.2018.12.056","article-title":"Burnout in French physicians: a 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Sci"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1037\/0003-066X.60.5.410","article-title":"Positive psychology progress: empirical validation of interventions","volume":"60","author":"Seligman","year":"2005","journal-title":"Am Psychol"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.invent.2014.06.003","article-title":"Stress management for middle managers via an acceptance and commitment-based smartphone application: a randomized controlled trial","volume":"1","author":"Ly","year":"2014","journal-title":"Internet Interv"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-016-1104-2","article-title":"Cross-sectional survey evaluating Text4Mood: mobile health program to reduce psychological treatment gap in mental healthcare in Alberta through daily supportive text messages","volume":"16","author":"Agyapong","year":"2016","journal-title":"BMC Psychiatry"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"31","DOI":"10.3233\/THC-120707","article-title":"Perception of patients with alcohol use disorder and comorbid depression about the usefulness of supportive text messages","volume":"21","author":"Agyapong","year":"2013","journal-title":"Technol Health Care"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"3798","DOI":"10.3390\/ijerph19073798","article-title":"Clinical outcomes in routine evaluation measures for patients discharged from acute psychiatric care: four-arm peer and text messaging support controlled observational study","volume":"19","author":"Shalaby","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"640795","DOI":"10.3389\/fpsyt.2021.640795","article-title":"Text4Support mobile-based programming for individuals accessing addictions and mental health services\u2014retroactive program analysis at baseline, 12 weeks, and 6 months","volume":"12","author":"Noble","year":"2021","journal-title":"Front Psych"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"e24184","DOI":"10.2196\/24184","article-title":"Gender differences in satisfaction with a text messaging program (Text4Hope) and anticipated receptivity to technology-based health support during the COVID-19 pandemic: cross-sectional survey study","volume":"9","author":"Shalaby","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"921982","DOI":"10.3389\/fpsyt.2022.921982","article-title":"Text messages in the field of mental health: rapid review of the reviews","volume":"13","author":"Shalaby","year":"2022","journal-title":"Front Psych"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research 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