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

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.

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.

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.