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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
277
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.
Subang State Polytechnic
Subang, West Java, Indonesia
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.
Time frame: 7 days (Measured immediately after completion of the one-week daily intervention)
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.
Time frame: 7 days (Measured immediately after completion of the daily intervention for one week)
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