Evidence map›Paper›PMID 40898304›Full record

ArticleBMC nursing2025

A comparison of the impact of nurse-led education and telehealth interventions on mental health outcomes for ambulatory patients in Saudi Arabia.

Ateya Megahed Ibrahim, Donia Elsaid Fathi Zaghamir, Rasha Kamal Sweelam, Heba Ahmed Osman Mohamed, Fathia Gamal Elsaid Hassabelnaby

Abstract read
In one paragraph

Article in BMC nursing, 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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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

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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

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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

5 authors.

Ateya Megahed IbrahimCollege of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia. ateyamegahed@yahoo.com.
Donia Elsaid Fathi ZaghamirCollege of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Rasha Kamal SweelamPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Menoufia University, Menoufia, Egypt.
Heba Ahmed Osman MohamedMaternal and Child Health Nursing Department, College of Nursing, Northern Border University, Arar, Saudi Arabia. heba.mohmmed@nbu.edu.sa.
Fathia Gamal Elsaid HassabelnabyPublic Health Nursing Department, Faculty of Nursing, Northern Border University, Arar, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health disorders, including depression, anxiety, and pain, are prevalent among ambulatory patients. Nurse-Led Education and Telehealth interventions have emerged as promising approaches to improving mental health outcomes. However, their comparative effectiveness remains unclear, particularly in Saudi Arabia.

aimThis study compares the impact of Nurse-Led Education and Telehealth interventions on mental health outcomes (depression, anxiety, and pain) for ambulatory patients in Saudi Arabia.

methodsA quasi-expremintal study with pre and post tests were conducted with 400 participants, who were recruited through purposive sampling and assigned to receive either Nurse-Led Education or Telehealth interventions over eight weeks. Depression, anxiety, and pain were measured using the PHQ-9, STAI, and VAS tools, respectively. Data were analyzed using descriptive statistics, independent t-tests, logistic regression, and Structural Equation Modeling (SEM), with anxiety examined as a potential mediator.

resultsBoth the Nurse-Led Education and Telehealth Intervention groups showed significant improvements in mental health outcomes, including reductions in depression (PHQ-9), anxiety (STAI), and pain (VAS). The Nurse-Led Education group improved from 20.3 to 12.4 in PHQ-9, while the Telehealth group decreased from 21.8 to 15.2, both with p < 0.001. Pain scores also decreased significantly in both groups, with the Nurse-Led group improving from 18.9 to 9.3 and the Telehealth group from 31.3 to 18.5 (p < 0.001). Anxiety levels decreased in both groups (p < 0.001). Regression analysis indicated that Telehealth had a stronger association with improvements across all outcomes, with anxiety playing a significant mediating role in the Telehealth group. Structural Equation Modeling (SEM) further demonstrated that Telehealth had a more pronounced effect on pain management and mental health outcomes, highlighting its potential for more robust results compared to Nurse-Led Education, though both interventions proved beneficial.

conclusionTelehealth interventions showed superior efficacy in managing depression and pain, potentially due to individualized care. Nurse-Led Education excelled in fostering peer support, which equally benefited anxiety management. These findings highlight the importance of tailored approaches in mental health care. CLINICAL TRIAL: No clinical trial.

Indexed as

Ambulatory patientsAnxietyDepressionMental healthNurse-led educationPainSaudi ArabiaTelehealth

Identifiers

PMID40898304
PMCPMC12403275

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.