Evidence map›Paper›PMID 42712158›Full record

Trial reportWorldviews on evidence-based nursing2026

Effects of Digital Mental Health Screening Alone and With the Online MINDBODYSTRONG CBT-Based Program on Burnout, Depression, Anxiety, Healthy Behaviors, and Suicidal Ideation in at-Risk Nurses at 3- and 6-Months Post-Intervention: An RCT.

Bernadette Mazurek Melnyk, Judy E Davidson, Sharon Tucker, Sidney Zisook, Alai Tan, Mickey Lin, Andrea Cooper, Cora Mayfield, Jacqueline Hoying, Alison F Cuccia

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Worldviews on evidence-based nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bernadette Mazurek MelnykCOPE2Thrive LLC, Powell, Ohio, USA.ORCID https://orcid.org/0000-0002-4704-1198
Judy E DavidsonThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0003-1459-181X
Sharon TuckerUniversity of Central Florida, Orlando, Florida, USA.ORCID https://orcid.org/0000-0002-4217-1559
Sidney ZisookUniversity of California San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0003-3341-9185
Alai TanThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-2907-9088
Mickey LinThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0003-2114-0814
Andrea CooperThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-5422-5825
Cora MayfieldThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0009-0003-1554-4115
Jacqueline HoyingThe Ohio State University College of Nursing, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-3034-6972
Alison F CucciaAmerican Nurse Association Enterprise, Silver Spring, Maryland, USA.ORCID https://orcid.org/0000-0001-5124-293X

Funding

American Foundation for Suicide Prevention TBT-2-2007-21
6 · The paper itself

Abstract

backgroundBurnout and mental distress among nurses are global public health epidemics that adversely affect nurse well-being and healthcare quality. Evidence-based, scalable mental health interventions are urgently needed.

aimsTo evaluate the 3- and 6-month 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-based online MINDBODYSTRONG (MBS) cognitive behavioral therapy (CBT)-based skills-building program among nurses at risk for mental distress.

methods501 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-building intervention (the intervention). All study activities were conducted remotely. Follow-up surveys administered at 3- and 6-months assessed anxiety, depression, suicidal ideation, burnout, healthy lifestyle beliefs, and healthy lifestyle behaviors using valid and reliable scales.

resultsCompared 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 months post-intervention. After controlling baseline risk, the intervention group had a lower risk of suicidal ideation than the screening and referral group at 3 months (relative risk ratio [RRR] = 0.717; 95% CI: 0.320-1.606) and 6 months (RRR = 0.329; 95% CI: 0.101-1.072). The intervention group also had a significantly lower risk of burnout at 6 months (RRR: 0.698, 95% CI: 0.528, 0.929, p = 0.012). Nurses who completed more MBS sessions had less suicidal ideation at 6 months and those who completed more MBS skills-building activities had less burnout at 3 and 6 months. LINKING ACTION TO EVIDENCE: Integrating psychologically safe mental health screening combined with the scalable online CBT-based intervention, MBS, can produce sustained improvements in burnout, mental health symptoms, including suicidality, and healthy lifestyle beliefs and behaviors among nurses experiencing mental distress.

Indexed as

Cognitive Behavioral TherapyMass ScreeningNursesAdultAnxietyBurnout, ProfessionalDepressionDigital HealthFemaleHumansMaleMiddle AgedSuicidal IdeationSurveys and QuestionnairesUnited Statesburnoutcognitive behavioral healthdigital mental healthmental healthnursesscreeningsuicideworkplace

Identifiers

PMID42712158
PMCPMC13555182

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.