{"title":"Focusing on Close Relationships Associated with Improved Outcomes in a Workplace Gratitude Randomized Controlled Trial.","authors":"Katherine J Gold, Margaret L Dobson, Ananda Sen","doi":"10.1097/JOM.0000000000003482","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Gratitude programs may improve well-being among healthcare workers, but it is unknown whether the content of practices matters.</p><p><strong>Methods: </strong>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 three 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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Focusing gratitude on relationships may be most impactful.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003482","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Gratitude programs may improve well-being among healthcare 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 three 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: 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.