The point is, once you get the basics right and money is no longer the main factor, you can start designing your life around the things that are truly important to you. Several health system leaders expressed preferences for regular, within EMR, CM-CHW-PCP communication and ad hoc CM-CHW-PCP in-person or telephonic communication rather than regularly scheduled meetings. So with no idea where to go from there, I found an empty journal and started a record of the True Riches In My Life. For each year of my adult life, I jotted down every experience, achievement, adventure, friendship won or lost, and every decision I could remember making.

Ordinary riches can be stolen; real riches cannot. In your soul are infinitely precious things that cannot be taken from you.” ~ Oscar Wilde Next time you feel unhappy or are beating yourself up, do one small act of kindness for someone, then do one for yourself. Note these in your journal. 11. CompassionChen, C., Lee, S.-y., & Stevenson, H. W. (1995). Response style and cross-cultural comparisons of rating scales among East Asian and North American students. Psychological Science, 6, 170–175. Oishi, S., & Choi, H. (2020). What is a psychologically rich experience? An exploration of visual images. A paper under review. I always encourage people to spend extravagantly on the things they love, as long as they cut costs mercilessly on the things they don’t. Ask yourself: What do you love spending money on? Not just “like,” but love. Now ask yourself what it would feel like to quadruple your spending in that area.

Given the pragmatic nature of the study and extensive health system and community engagement, flexibility to adapt the protocol to respond to practice-based concerns and partner suggestions is a major strength of this study. Implementing this study would not be possible without tailoring the protocol to meet the needs and resources of health systems, patients, CMs, and CHWs. On-going engagement with participating health systems and partners resulted in study design adaptations across all of the RICH LIFE interventions including team member training and staffing models of the collaborative care team, timing of stepped-care interventions, measures included on the hypertension dashboard, the frequency and content of the HELN webinars and coaching calls, and the process for training and certifying clinical staff in the BP standardization measurement protocol. Implementing the RICH LIFE Project across five unique health systems, including FQHCs and non-FQHCs, will result in greater generalizability of study findings. Significant engagement with the different health systems resulted in a flexible protocol, with permissible adaptations, that lends itself to wider dissemination.Muthén, L. K., &Muthén, B. O. (1998-2006). Mplus user’s guide. (4th edn). Los Angeles, CA: Muthén & Muthén. What it looks like: I love Japanese design and architecture. I even collect photos and examples of what I love. Westgate, E. C., & Wilson, T. D. (2018). Boring thoughts and bored minds: the MAC model of boredom and cognitive engagement. Psychological Review, 125, 689–713. Westgate, E.C., & Losee, J. (2020). Mere categorization: the process of categorization is inherently rewarding. Manuscript in preparation.