TY - JOUR
AU - K. J. Gold
AU - M. L. Dobson
AU - A. Sen
A1 - 
AB - OBJECTIVE: Gratitude programs may improve well-being among health care workers, but it is unknown whether the content of practices matters. METHODS: We conducted a text-based randomized controlled trial of "Three Good Things" (3GT) in a large academic primary care department. Participants responded to texts thrice weekly for 3 weeks and listed good things that happened that day. We measured depression, positive affect, gratitude, and life satisfaction for "immediate intervention" and "delayed" intervention groups. We coded >4600 entries and used multivariable regression to control for department age, role, and gender to see if content affected well-being. RESULTS: A total of 223 of 468 individuals (48%) enrolled. Close relationships and identifying valuable people in one's life were associated with the strongest benefits, but not all "good things" improved outcomes. CONCLUSIONS: Focusing gratitude on relationships may be most impactful.
AD - From the Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (K.J.G., M.L.D., A.S.); Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan (K.J.G.); and Department of Biostatistics, University of Michigan, Ann Arbor, Michigan (A.S.).
AN - 40561230
BT - J Occup Environ Med
C5 - Education & Workforce
CP - 11
DA - Nov 1
DO - 10.1097/jom.0000000000003482
DP - NLM
ET - 20250613
IS - 11
JF - J Occup Environ Med
LA - eng
N2 - OBJECTIVE: Gratitude programs may improve well-being among health care workers, but it is unknown whether the content of practices matters. METHODS: We conducted a text-based randomized controlled trial of "Three Good Things" (3GT) in a large academic primary care department. Participants responded to texts thrice weekly for 3 weeks and listed good things that happened that day. We measured depression, positive affect, gratitude, and life satisfaction for "immediate intervention" and "delayed" intervention groups. We coded >4600 entries and used multivariable regression to control for department age, role, and gender to see if content affected well-being. RESULTS: A total of 223 of 468 individuals (48%) enrolled. Close relationships and identifying valuable people in one's life were associated with the strongest benefits, but not all "good things" improved outcomes. CONCLUSIONS: Focusing gratitude on relationships may be most impactful.
PY - 2025
SN - 1076-2752
SP - 956
EP - 961+
ST - Focusing on Close Relationships Associated With Improved Outcomes in a Workplace Gratitude Randomized Controlled Trial
T1 - Focusing on Close Relationships Associated With Improved Outcomes in a Workplace Gratitude Randomized Controlled Trial
T2 - J Occup Environ Med
TI - Focusing on Close Relationships Associated With Improved Outcomes in a Workplace Gratitude Randomized Controlled Trial
U1 - Education & Workforce
U3 - 10.1097/jom.0000000000003482
VL - 67
VO - 1076-2752
Y1 - 2025
ER -