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

No phase Interventional Nursing Student Gratitude Psychological Well-being

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Three Good Things.
Who it may be relevant to
Registry conditions: Nursing Student, Gratitude, Psychological Well-being. Basic parameters: No limits · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Indonesia
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

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

Overview

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

  • Behavioral Three Good Things
    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.

Primary outcome measures

  • The Change in Psychological Well-Being [Time frame: 7 days (Measured immediately after completion of the one-week daily intervention)]
  • The Change in Gratitude Levels [Time frame: 7 days (Measured immediately after completion of the daily intervention for one week)]

Eligibility criteria

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.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Prevention

Study locations

Indonesia · 1 center
  • Subang State Polytechnic — Subang

Publications

  • Zhan D, Xu L, Ouyang Y, Sawatzky R, Wong H. Methods for dealing with unequal cluster sizes in cluster randomized trials: A scoping review. PLoS One. 2021 Jul 29;16(7):e0255389. doi: 10.1371/journal.pone.0255389. eCollection 2021. PMID 34324593
  • Yosep I, Hikmat R, Mardhiyah A, Zamroni AH, Pranata Y, Saputra RL. Nursing interventions to reduce mental health problems in nursing students: a scoping review. BMC Nurs. 2025 Jul 1;24(1):780. doi: 10.1186/s12912-025-03329-w. PMID 40598211
  • Xiong, Y., & Higgins, M. J. (2020). The Benefits of Probability-Proportional-to-Size Sampling in Cluster-Randomized Experiments (No. arXiv:2002.08009). arXiv. https://doi.org/10.48550/arXiv.2002.08009
  • Xie H, Kang B. Mental Health of Nursing Students: A Bibliometric Review Based on CiteSpace Visual Analysis. J Nurs Manag. 2025 Mar 12;2025:2169094. doi: 10.1155/jonm/2169094. eCollection 2025. PMID 40223903
  • World Health Organization. (2025). Mental Health of Adolescents. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
  • Willenberg L, Wulan N, Medise BE, Devaera Y, Riyanti A, Ansariadi A, Wiguna T, Kaligis F, Fisher J, Luchters S, Jameel A, Sawyer SM, Tran T, Kennedy E, Patton GC, Wiweko B, Azzopardi PS. Understanding mental health and its determinants from the perspective of adolescents: A qualitative study across diverse social settings in Indonesia. Asian J Psychiatr. 2020 Aug;52:102148. doi: 10.1016/j.ajp.2020 PMID 32450491
  • Sucitayasa, I. M. (2025). Hubungan Dukungan Sosial Dengan Tingkat Stres Mahasiswa Tingkat Satu Program Studi Sarjana Keperawatan Dan Pendidikan Profesi Ners Fakultas Kedokteran Universitas Udayana. Community of Publishing in Nursing, 13(1), 102-109.
  • Seligman ME, Steen TA, Park N, Peterson C. Positive psychology progress: empirical validation of interventions. Am Psychol. 2005 Jul-Aug;60(5):410-21. doi: 10.1037/0003-066X.60.5.410. PMID 16045394

Identifiers

NCT: NCT07337200 · 25.11.02

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗