Three Good Things 2020: a Brief Text-based Wellness Intervention

This trial will be open to all Michigan Medicine Department of Family Medicine faculty, resident, or staff. The intervention will consist of asking participants the "3 Good Things" based on positive psychology theory. Participants will be asked to list three things that went well that day and to consider their role in these outcomes. Pre and post surveys will be completed to evaluate this intervention. At the end of the trial the study team will also select a limited number of entries from participants to share some of the "good things" which people listed. These will be edited to ensure writer anonymity and participants will be informed of this plan in the study introduction.

Three times weekly for three weeks, participants will receive a text-based survey asking them to type or dictate "three good things."

Participants will have surveys in the waiting period for 3 months and then be crossed over to the treatment arm Three Good Things.

The treatment phase will last 3 weeks. However, participants will complete surveys at baseline and up to 6 months. At the end of the trial the study team will also select a limited number of entries from participants to share some of the "good things" which people listed. These will be edited to ensure writer anonymity and participants will be informed of this plan in the study introduction.

Change in the Positive and Negative Affect Schedule (PANAS-SF) between the intervention and control group

This is a 10 item survey to measure positive and negative affect. Responses include; very slightly or not at all, a little, quite a bit, and extremely. Higher scores of Positive Affect (PA) subscale represent higher positive affect higher scores of Negative affect (NA) subscale represent higher negative affect.

This is a 1 question item to assess participants physical health ( 1=Excellent 2=good 3=fair 4=poor).

The GAC is a 3-item self-report measure of state gratitude in which participants select, (1) A little (2) Moderately, Quite a bit (4), and Extremely (5).The total score on GAC ranges from 3 to 15, with higher score indicating greater state gratitude.

PHQ-9 scores reflect depression severity. Participants will select responses that include 0=not at all, 1=several days, 2=more than half the days, 3=nearly every day. Ranges in scores are from 0-27 (Scores: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe).

This is a 5 question questionnaire in which participants select from 7 responses that are given a 1-7 scale from strongly disagree to strongly agree. Scoring ranges from 5-35 where 20 = neutral (the higher the score the more satisfaction).

This is a 12 item questionnaire in which participants select from answers that include 1=definitely false 2=mostly false 3=mostly true 4=definitely true. Scores range from 12-48 with higher scores indicating greater hope.

Inclusion Criteria: Faculty, resident, or staff in the Michigan Medicine (MM) Department of Family Medicine Exclusion Criteria: Not a member of Family Medicine at MM