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The Effectiveness of Three Good Things on Gratitude and Psychological Well-being Among Nursing Students

The Effectiveness of Daily Three Good Thing Intervention on Gratitude and Psychological Well-being Among Indonesian Nursing Students: Solomon Four-Group Design

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07337200
Enrollment
277
Registered
2026-01-13
Start date
2025-12-23
Completion date
2026-03-25
Last updated
2026-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gratitude, Nursing Student, Psychological Well-being

Keywords

Three Good Things, Gratitude, Psychological well-being, Daily intervention, Nursing students, Solomon Four Group Design, Positive psychology

Brief summary

The goal of this clinical trial is to learn if the daily Three Good Thing intervention can prevent negative mental health outcomes like stress and burnou, and promote Gratitude and Psychological Wellbeing in undergraduate Nursing Students. The main questions it aims to answer are: Does the daily Three Good Things intervention effective in promoting gratitude and psychological wellbeing among nursing students? Researchers will compare four different arms from Solomon Four Group Design to see if the increase in Gratitude and Psychological Wellbeing scores is significantly greater in the groups that received the 3GT intervention. Participants will be randomly assigned to one of the four groups, and those in the intervention groups will: 1. Complete a pre-test questionnaire (for some groups) on their current level of Gratitude and Psychological Wellbeing. 2. Perform the Three Good Things (3GT) intervention by writing down three positive things that happened each day for 7 consecutive days. 3. Complete a post-test questionnaire to measure the final level of Gratitude and Psychological Wellbeing.

Detailed description

Research Design: Experimental research using the Solomon Four Group Design approach. This design is used to measure the effectiveness of interventions while specifically controlling and analyzing the potential interaction effects between pre-tests and interventions (testing effect). Population & Sample: The population of this study consisted of all first- and second-year students of the D-III Nursing Study Program at Subang State Polytechnic, totaling 277 people. Intervention Duration: The Three Good Things intervention was carried out for 7 consecutive days. Independent Variable: Three Good Things Daily Intervention. Dependent Variables: 1. Gratitude: Measured using the Indonesian adaptation of the Gratitude Questionnaire containing 11 items. 2. Psychological Wellbeing: Measured using the Indonesian adaptation of Ryff's Psychological Wellbeing Scale questionnaire containing 18 items.

Interventions

The Three Good Things intervention was self-administered daily for seven days. Participants are required to record three positive things that happened that day and add a brief summary of the reasons behind these events using a Google form prepared by the researchers.

Sponsors

Kaohsiung Medical University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Intervention model description

This study used the Solomon Four Group Design, which involved four separate groups to test the effects of the intervention while simultaneously controlling and measuring the interaction effects of the pre-test (testing effect).

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* Active first- and second-year students in the D-III Nursing Program at Subang State Polytechnic. * Willing to participate in the study by signing an informed consent form. * Able to use Google Forms online for the intervention.

Exclusion criteria

* Students who are on academic leave. * Students who did not complete the daily intervention until the end in groups 1 and 3.

Design outcomes

Primary

MeasureTime frameDescription
The Change in Psychological Well-Being7 days (Measured immediately after completion of the one-week daily intervention)Measurement of changes in psychological well-being scores from pre-test to post-test in participants using the 18-item Indonesian adaptation of the Ryff Psychological Well-Being Scale. These changes will compare the effectiveness of the Three Good Things (3GT) intervention with the control group. Psychological well-being here refers to six dimensions : self-acceptance, positive relationships with others, autonomy, mastery of the environment, life purpose, and personal growth. The total score ranges from 18 to 72 using a 1-4 Likert scale (strongly disagree-strongly agree), where a higher score indicates a higher level of psychological well-being. Reverse scoring is used for favorable items 4, 5, 6, 7, 10, 14, 15, and 16.
The Change in Gratitude Levels7 days (Measured immediately after completion of the daily intervention for one week)Measurement of changes in gratitude scores from pre-test to post-test in participants using the 11-item Indonesian adaptation of the Gratitude Questionnaire. These changes will assess the ability of the Three Good Things (3GT) intervention to increase participants' tendency to feel and express gratitude in their daily lives using two dimensions : Appreciation for ongoing life experiences and Appreciation for individuals involved in one's life. The total score ranges from 11 to 77 using a 1-7 Likert scale (strongly disagree-strongly agree), where a higher score indicates a higher level of gratitude. Reverse scoring applies to unfavorable item number 3.

Countries

Indonesia

Contacts

Primary ContactWardah Fauziah, msn
wardahfauziah7@gmail.com082218160048
Backup ContactEva Riantika Ratna Palupi, msn
eva.riantikarp@gmail.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026