ArticleFrontiers in public health2025
Psychological health and wellness and the impact of 6 weeks and 3 months supportive text messaging program (Wellness4MDs) among physicians and medical learners in Canada: a longitudinal study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: 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. Objective: 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. Methods: Participants subscribed to the Wellness4MDs program and received daily supportive SMS messages for 3 months. Standardized self-rated web-based questionnaires assessing depression, anxiety, burnout symptoms were collected at baseline, 6 weeks, and 3 months using the PHQ-9, GAD-7, MBI, and WHO-5. Subscribers' satisfaction was measured using an online, self-developed questionnaire adapted from tools previously employed to assess similar programs. Results: 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% ( Conclusion: 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.
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