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Nursing StudentNCT07337200

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

A study testing Three Good Things in people with Nursing Student and Gratitude, run by Kaohsiung Medical University at 1 site in Indonesia.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial 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. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
What is being tested?
Three Good Things
Could I receive a placebo?
No, everyone receives an active treatment
How many people
277 participants
Where
1 siteIndonesia
Study dates
23 Dec 2025to 25 Mar 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

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

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Wardah Fauziah, msn contact

082218160048

wardahfauziah7@gmail.com

Eva Riantika Ratna Palupi, msn contact

eva.riantikarp@gmail.com

Indonesia1 site
  • Subang State Polytechnic

    Subang, West Java, 41211

Other trials in Indonesia

About this study

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

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:

Read more

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.
Read the 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.
Being tested
Three Good Things
Keywords
Three Good Things, Gratitude, Psychological well-being, Daily intervention, Nursing students, Solomon Four Group Design, Positive psychology
Medical subject headings
Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Three Good ThingsBehavioural

    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.

Study groups in NCT07337200
Study groupRoleWhat they receive
Group 1 (Pre-test, 3GT, post-test)ExperimentalThis 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.
Receives: Behavioral: Three Good Things
Group 2 (pre-test and post-test)No interventionThis 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 3 (3GT and post-test)ExperimentalThis 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.
Receives: Behavioral: Three Good Things
Group 4 (Post Test only)No interventionThis 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.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Change in Psychological Well-Being

    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.

    Measured: 7 days (Measured immediately after completion of the one-week daily intervention)

  2. The Change in Gratitude Levels

    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.

    Measured: 7 days (Measured immediately after completion of the daily intervention for one week)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jan 2026
  2. Study start23 Dec 2025 (estimated)
  3. Primary completion1 Mar 2026 (estimated)
  4. Study completion25 Mar 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
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).
Masking
Single blind
Who is masked
Participant
Enrolment
277 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07337200
Sponsor's protocol ID
25.11.02
Status last verified
Jan 2026
First submitted
16 Dec 2025
Last updated
13 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Participant data will not be shared to maintain participant confidentiality and to comply with the ethical guidelines. Furthermore, the study protocol and informed consent process do not include provisions for sharing participant data with external parties.

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.

    PubMed 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.

    PubMed 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.

    PubMed 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.2020.102148. Epub 2020 May 6.

    PubMed 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.

    PubMed 16045394
  • Safrin. (2020). Pendekatan Eksperimental dalam Penelitian Komunikasi. Talenta Conference Series: Local Wisdom, Social, and Arts (LWSA), 3(1). https://doi.org/10.32734/lwsa.v3i1.810

  • Rippstein-Leuenberger K, Mauthner O, Bryan Sexton J, Schwendimann R. A qualitative analysis of the Three Good Things intervention in healthcare workers. BMJ Open. 2017 Jun 13;7(5):e015826. doi: 10.1136/bmjopen-2017-015826.

    PubMed 28611090
  • Rahmi, E. F., & Appulembang, Y. A. (2024). Konseling Kelompok Untuk Menurunkan Stress Akademik Mahasiswa Tingkat Akhir S. PUSAKO : Jurnal Pengabdian Psikologi, 2(2), 39-48. https://doi.org/10.24036/pusako.v2i2.55

  • Radez J, Reardon T, Creswell C, Lawrence PJ, Evdoka-Burton G, Waite P. Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies. Eur Child Adolesc Psychiatry. 2021 Feb;30(2):183-211. doi: 10.1007/s00787-019-01469-4. Epub 2020 Jan 21.

    PubMed 31965309
  • Pusat Kesehatan Reproduksi UGM. (2021). Indonesia-National Adolescent Mental Health (I-NAMHS). https://pkr.fk.ugm.ac.id/penelitian/indonesia-national-adolescent-mental-health/#:~:text=Penelitian%20Indonesia%2DNational%20Adolescent%20Mental%20Survey%20(I%2DNAMHS),prevalensi%20penyakit%20mental%20pada%20remaja.

  • Mccullough ME, Emmons RA, Tsang JA. The grateful disposition: a conceptual and empirical topography. J Pers Soc Psychol. 2002 Jan;82(1):112-27. doi: 10.1037//0022-3514.82.1.112.

    PubMed 11811629
  • Mat, N., Abdullah, N. A., Abu Hassan, N., & Juhdi, N. H. (2020). Pengaruh Nilai Kerja Terhadap Tingkah Laku Kerja Inovatif dan Kesejahteraan Psikologi: Modal Psikologi Sebagai Pengantara (the Influence of Work Values on Innovative Work Behaviour and Psychological Well-Being: The Psychological Capital as a Mediator). International Journal of Management Studies, 27. https://doi.org/10.32890/ijms.27.1.2020.7674

Questions about this trial

What is this clinical trial studying?

A study testing Three Good Things in people with Nursing Student and Gratitude, run by Kaohsiung Medical University at 1 site in Indonesia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 13 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Wardah Fauziah, msn (082218160048, wardahfauziah7@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Change in Psychological Well-Being (time frame: 7 days (Measured immediately after completion of the one-week daily intervention)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07337200, which also lists 36 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jan 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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