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

NCT ID: NCT07337200

Last Updated: 2026-01-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

277 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-23

Study Completion Date

2026-03-25

Brief Summary

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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

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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.

Conditions

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Nursing Student Gratitude Psychological Well-being

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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).
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Group 1 (Pre-test, 3GT, post-test)

This group received measurements of the dependent variables (Gratitude and Psychological Well-being) through a pre-test, followed by a Three Good Things (3GT) intervention for 7 days, and ended with the same measurements for the post-test.

Group Type EXPERIMENTAL

Three Good Things

Intervention Type BEHAVIORAL

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.

Group 2 (pre-test and post-test)

This group received measurements of dependent variables (Gratitude and Psychological Wellbeing) through a pre-test, did not receive the 3GT intervention, and ended with the same measurements. This group aimed to measure the natural effects of the passage of time and the potential influence of the pre-test itself without any intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Group 3 (3GT and post-test)

This group does not receive a pre-test to eliminate testing bias, but receives the Three Good Things (3GT) Intervention for 7 days, and ends with only dependent variable measurements (post-test). This group tests the effectiveness of the intervention without the interaction effect of the pre-test.

Group Type EXPERIMENTAL

Three Good Things

Intervention Type BEHAVIORAL

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.

Group 4 (Post Test only)

This group did not receive a pre-test or the 3GT Intervention. They only received a measurement of the dependent variable through a post-test at the end of the study period. This group served as the baseline measurement to isolate the pure effect of the intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kaohsiung Medical University

OTHER

Sponsor Role lead

Responsible Party

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Yudisa Diaz Lutfi Sandi

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yudisa Diaz Lutfi Sandi RN, MSN, RN., PhD

Role: PRINCIPAL_INVESTIGATOR

School of Health Science, Politeknik Negeri Subang

Locations

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Subang State Polytechnic

Subang, West Java, Indonesia

Site Status

Countries

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Indonesia

Central Contacts

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Wardah Fauziah, msn

Role: CONTACT

082218160048

Eva Riantika Ratna Palupi, msn

Role: CONTACT

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Related Links

Access external resources that provide additional context or updates about the study.

https://doi.org/10.1136/bmj.e5661

Consort 2010 Statement: Extension to Cluster Randomised Trials

https://doi.org/10.1016/j.nedt.2021.104877

Reducing Stress, Anxiety and Depression in Undergraduate Nursing Students: Systematic Review

https://doi.org/10.1186/s12912-022-00851-z

Why Do Nursing Students Leave Bachelor Program? Findings from a Qualitative Descriptive Study

https://doi.org/10.1016/j.nepr.2023.103636

The Effect of Laughter Yoga Applied Before Simulation Training on State Anxiety, Perceived Stress Levels, Self-Confidence and Satisfaction in Undergraduate Nursing Students: A Pragmatic Randomized Controlled Trial

https://www.ojhas.org/issue83/2022-3-5.html

Gratitude, Life Satisfaction And Forgiveness Among Acid Attack Victims: Rehabilitation Through Three Good Things Intervention

https://doi.org/10.1016/j.ijnurstu.2025.104993

The Prevalence of Mental Health Issues Among Nursing Students: An Umbrella Review Synthesis of Meta-Analytic Evidence

https://doi.org/10.1016/S0140-6736(23)02641-7

Prevalence of Adolescent Mental Disorders in Kenya, Indonesia, and Viet Nam Measured by the National Adolescent Mental Health Surveys (NAMHS): A Multi-National Cross-Sectional Study

https://doi.org/10.4135/9781506326139

The SAGE Encyclopedia of Educational Research, Measurement, and Evaluation

https://doi.org/10.3389/fpsyg.2023.1208300

The 18-Item Swedish Version of Ryff's Psychological Wellbeing Scale: Psychometric Properties Based on Classical Test Theory and Item Response Theory

https://ejournal3.undip.ac.id/index.php/empati/article/view/50074

Factors Affecting Academic Stress in Students in Indonesia: A Literature Study

https://doi.org/10.1016/j.nepr.2022.103534

Second-Year Undergraduate Nursing Students' Experiences with Clinical Simulation Training in Mental Health Clinical Practice: A Focus Group Study

https://doi.org/10.32890/ijms.27.1.2020.7674

the Influence of Work Values on Innovative Work Behaviour and Psychological Well-Being: The Psychological Capital as a Mediator

https://doi.org/10.1007/s00787-019-01469-4

Why Do Children and Adolescents (not) Seek and Access Professional Help for Their Mental Health Problems? A Systematic Review of Quantitative and Qualitative Studies

https://doi.org/10.24036/pusako.v2i2.55

Group Counseling to Reduce Academic Stress in Final Year Students

https://doi.org/10.1136/bmjopen-2017-015826

A Qualitative Analysis of the Three Good Things Intervention in Healthcare Workers

https://doi.org/10.32734/lwsa.v3i1.810

Experimental Approaches in Communication Research

https://doi.org/10.1016/j.ajp.2020.102148

Understanding Mental Health and Its Determinants from the Perspective of Adolescents: A Qualitative Study Across Diverse Social Settings in Indonesia

https://doi.org/10.48550/arXiv.2002.08009

The Benefits of Probability-Proportional-to-Size Sampling in Cluster-Randomized Experiments

https://doi.org/10.1186/s12912-025-03329-w

Nursing Interventions to Reduce Mental Health Problems in Nursing Students: A Scoping Review

https://doi.org/10.1371/journal.pone.0255389

Methods for Dealing with Unequal Cluster Sizes in Cluster Randomized Trials: A Scoping Review

Other Identifiers

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25.11.02

Identifier Type: -

Identifier Source: org_study_id

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