Attitude Scale Research Articles

Human rights engagement, stigma and attitudes towards mental health among Colombian social work and medical students.

Human rights training in mental health professions is essential to reduce stigma and facilitate recovery processes. The aim of this study was to understand the relationship between engagement to human rights and stigma towards people with mental disorders, as well as attitudes towards mental illness in medical and social work students of a Latin American context. An analytical, cross-sectional study was carried out with a sample of 243 students in the last two years of study. Community Attitudes Towards the Mentally Ill (CAMI), Mental Illness Clinicians' Attitude Scale (MICA), Human Rights Exposure in Social Work (HRXSW) and Human Rights Engagement in Social Work (HRESW) were used as instruments. To determine how the explanatory variables are related to the engagement to human rights (dependent variable) a binary logistic regression model was used. Correlations were found between the scales and their components. Economic condition, intersectional approach, authoritarianism, benevolence and mental health ideology explained 55.11% of the variance for commitment to the engagement of human rights. Some factors related to the stigma of mental disorders and the focus on human rights in future mental health professionals are highlighted that should be more visible in the training practices of these professions.

Fostering Cultural Awareness and Academic Engagement through Poetry Analysis in Kazakh Educational Contexts

This study investigated the effects of activity-based and traditional analysis methods on students’ attitudes toward poetry, academic achievement, and cultural identity. A pre-test-post-test control group experimental design—a quantitative research method—was employed. The class using activity-based analysis methods for poetry analysis was designated as the experimental group, while the class following the traditional analysis method served as the control group. Participants were second-year students from the Kazakh Literature Department at a university in Almaty, Kazakhstan. The study spanned eight weeks and involved 18 female and 15 male students in the experimental group, with 17 female and 15 male students in the control group. All students provided informed consent to participate voluntarily. The Scale of Attitude toward Poetry, Poetry Analysis Skills Academic Achievement Test, and Cultural Identity Perception Scale were administered to measure the study variables. The findings revealed that activity-based analysis methods positively impacted students’ attitudes toward poetry, with the experimental group demonstrating a more favorable approach than the control group. Additionally, students in the experimental group achieved higher academic performance in poetry analysis skills than those in the control group. Although both groups showed a general improvement in their cultural identity perception, no significant difference was found between them. These results support the potential of activity-based approaches in poetry education to increase student achievement and attitudes. Consequently, integrating such methods should be actively encouraged in future educational practices.

Contraceptive Intention, Religious Attitudes and Sources of Spirituality in Married Muslim Women: A Descriptive Correlational Study in Türkiye.

This study was carried out to reveal the relationship between contraceptive intents, religious attitudes, and spiritual resources of married Muslim women. The study was conducted using a descriptive-correlational design. The study was conducted with 273 participants between July and November 2023. To collect data, the Personal Information Form, Trait Sources of Spirituality Scale, Ok-Religious Attitude Scale, and Contraceptive Intent Questionnaire were used. The data were evaluated using Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests. No significant relationship was found between the total and sub-scales of the Contraceptive Intent Questionnaire, Trait Sources of Spirituality Scale, and Ok-Religious Attitude Scale (p>0.05). A positive and high correlation was detected between the total, emotion, relationship, and behavior sub-scales of the Trait Sources of Spirituality Scale and Ok-Religious Attitude Scale (p<0.05). The contraceptive intent levels of women were found to be associated with some of their socio-demographic and obstetric variables (age, previous delivery method, sex of existing children, and contraceptive method used). The only variable that showed a significant relationship with all three scales was found to be the sex of the existing children of women. Some socio-demographic and obstetric characteristics of married Muslim women are related to the sex of the child they have, their contraceptive intents, spiritual resources, and religious attitudes. In contraceptive counseling services provided to Muslim women, their religious attitudes and spiritual resources should be taken into consideration.

Caring Under Pressure: Investigating Parental Attitudes in Mother–Child Chronic Illness Dynamics

Background: The presence of chronic illnesses in both a mother and a child poses a significant challenge for mothers in managing these conditions, yet how maternal attitudes adapt to dual illness remains poorly understood. This study aims to explore parenting styles in families dealing with mother–child chronic illnesses. Methods: Mothers of children aged 2–6 were recruited from three pediatric clinics and categorized based on the health status of both the mother and the child. Data collection included case files and the Parental Attitude Scale (PAS), which assessed democratic, authoritarian, overprotective, and permissive attitudes. The interaction between mother–child health status and higher levels of parental subscales was analyzed using the chi-square test. Multiple logistic regression analysis was then performed to evaluate this interaction, controlling for confounding baseline characteristics. Results: In total, 878 mother–child pairs were included. Mothers exhibited varying attitudes based on education, employment, and the child’s age. Chronic illness in both mother and child and only the child having an illness were significantly associated with higher overprotective scores (p &lt; 0.001). The percentage of mothers with high permissive scores was higher when only the mother had an illness and when both were healthy, compared to the case of both mother and child having an illness (p = 0.018). After adjusting for confounding factors, having a sick child showed a 1.6-fold increase in the likelihood of a high overprotective score, and both the mother and child having an illness showed a 2.94-fold increase. Similarly, after adjusting for the same confounding factors, the likelihood of a high permissive score was 2.56 times lower when both were ill compared to when both were healthy. Conclusions: This study reveals that when a child is affected by a chronic illness—whether or not the mother is also ill—mothers tend to exhibit higher levels of overprotection and lower levels of permissiveness, while their levels of authoritarianism and democratic attitudes in parenting remain relatively stable.

Towards Healthy and Sustainable Human Settlement: Understanding How Local Communities Perceive and Engage with Spa Tourism Development Initiatives in Rural Areas

This study investigated the intersection of healthy and sustainable human settlement, and land use for spa tourism in rural areas. Recognizing the crucial role of youth in shaping the future of tourism, this research aimed to provide an insight into the young local rural community representatives’ perception of sustainable spa tourism development and to identify whether these attitudes are shaped by their socio-demographic characteristics. The applied methodology was the Sustainable Tourism Attitude Scale (SUS-TAS). A total of 254 respondents took part in this research. Using SPSS 30.0.0, the gathered data were subjected to additional analyses based on factor analysis, descriptive statistics, and the general linear model. The results showed a general positive attitude of local community members towards the further development of spa tourism in their communities. The especially important factors were the following: long-term planning of development, environmental protection, negative attitudes towards spa tourism development, economic benefits, as well as community participation. By providing an empirical analysis based on the use of robust tools for measuring youth attitudes, this research offers valuable insights for policymakers, planners, and community leaders into how they can design and implement tourism strategies that align with sustainability principles while fostering local economic development and environmental stewardship. The ultimate goal is to contribute to the broader discussion on developing healthy, sustainable human settlements that balance economic benefits with ecological and social well-being. Synergy/harmony between communities and their natural surroundings is essential for the social, economic, and environmental sustainability of rural human settlements. Mineral springs and spas facilitate sensory experiences for individuals (both tourists and residents) through the utilization of natural resources and the environment.

Understanding Body Dissatisfaction and Preferences among Palestinian-Arab Women in Israel: Westernization and Culturally Bound Factor

Body dissatisfaction, a risk factor for eating disorders, is documented among women in various cultural settings. We focus on prediction of body dissatisfaction among Muslim- Arab women in Israel. Two studies were conducted. Study 1 examined the effect of exposure to cultural cues on body preferences through priming and its interaction with acculturation attitudes. Muslim-Arab female students (N = 113) were randomized to one of two cultural priming conditions (Western vs. Arab) and filled out an acculturation attitudes scale. As expected, women exposed to Western cultural cues preferred thinner figures compared to women exposed to Arab cultural cues. Under Western acculturation attitudes these effects were stronger. Study 2 focused on two culturally bound factors, maturity fear and selflessness, as predictors of body dissatisfaction in two groups. Cultural values were included to investigate the predicting ability of Western and non-Western values. 163 Muslim and 128 Jewish female university students filled out questionnaires. Body dissatisfaction measures were predicted by cultural group, cultural values, maturity fear and selflessness. Results show that body dissatisfaction was linked only to maturity fear among Muslim women, and to selflessness, self-transcendence and self-enhancement values among Jewish women. Taken together the findings point to some protection among Muslim women against Westernization effects on body dissatisfaction, including a null effect of selflessness, and reveal that maturity fear is a consistent predictor of body dissatisfaction among Muslim-Arab women in Israel. The results are discussed in light of the situation of this group in Israel.

The Relationship Between Ethical Attitudes and Compassion Fatigue in Nurses Working in Surgical Intensive Care Units

Aim This study aimed to explore the relationship between ethical attitudes and compassion fatigue experienced by nurses in surgical intensive care units. Methods It is mixed-design research. The study was conducted with 38 nurses working in the surgical intensive care units of a university hospital who agreed to participate in the study. Quantitative data were collected using the Nurse Information Form, the Ethical Attitude Scale for Nursing Care, and the Compassion Fatigue–Short Scale. Qualitative data were collected using a semistructured questionnaire, through individual interviews with 9 volunteer nurses in surgical intensive care units. Results The study revealed that nurses exhibited high levels of ethical attitudes in nursing care along with high levels of compassion fatigue. During the qualitative data analysis, 4 key themes emerged: ethical approaches in surgical intensive care units, professional quality of life in nurses, the reflections of compassion fatigue on ethical behavior, and nurses’ well-being. Conclusions It was concluded that when compassion fatigue increased in nurses in surgical intensive care units, ethical attitudes in nursing care decreased. Therefore, compassion fatigue can be addressed by programs that support nurses’ well-being, such as meditation, deep breathing, self-compassion exercises, and so on. It can be reduced.

Attitudes and Willingness of Patients Toward Organ Donation and Distrust in the Health Care System: Insights from Turkish Family Physicians

ObjectivesOrgan transplant recipients express trust in their physicians with the phrase, "I entrust my life first to Allah and then to you." However, trust is not reflected in organ donor rates in Türkiye despite the rising incidence of end-stage organ failures.The aim of this study was to map individuals' attitudes, willingness, and behaviour towards organ donation, relationships with distrust in the health care system, religious aspects, and demographic variables. Material and MethodsIn a descriptive cross-sectional approach, a face-to-face questionnaire was issued to randomly selected 557 patients in family medicine clinics of two tertiary hospitals in Istanbul city. Positive and negative attitudes subscales of the organ donation attitude scale and distrust in the health care system scale were used. ResultsThe organ donation rate was 12.4%, and 37.9% of participants were willing to donate. A higher education level revealed higher rates of willingness but did not supply a higher donation rate (p=0.001, p=0.048).The liver was the organ with the most potential to donate (90.3%).The average positive and negative attitude scores towards organ donation were 48.10 ± 21.41and 72.11 ± 26.47, highlighting negative tendency. The rate of refusals donated for religious reasons was 30.1%. It was observed that individuals who religiously refused organ donation were less willing to donate and showed higher distrust in the healthcare system (p<0.001; p<0.001),but they exhibited more positive and less negative donation attitude scores versus others (p<0.001; p<0.001). Approximately half of the participants reported awareness of organ donation law and brain death principles supporting a significantly higher donation rate(p<0.001; p<0.001). ConclusionsOur findings highlight a crucial mismatch between willingness, attitudes, distrust, religious aspects, and actual behaviour regarding organ donation. Strategically, educational materials and interventions on relevant laws, brain death principles, and reasons for becoming donors may be more effective than focusing solely on increasing donation rates.

Participation and Well-Being of Chinese Mothers Who Have Children With Disabilities.

High stress and compromised mental health are well-documented among mothers of children with disabilities, but less is known about the factors that influence their participation and well-being, especially among Chinese mothers. Identifying these factors could lead to strategies to mitigate potential risks to maternal well-being. To explore the relationships among participation in health-promoting activities, perceived stigma, perceived support, and well-being of ethnic Chinese mothers who have children with disabilities. Cross-sectional survey. Community. Ethnic Chinese mothers (N = 261) with children with disabilities of any age residing in Australia, Singapore, or Taiwan. Health Promoting Activities Scale, Personal Wellbeing Index, Warwick-Edinburgh Mental Wellbeing Scale; Kessler Psychological Distress Scale, Parental Perceptions of Public Attitudes Scale, and Multidimensional Scale of Perceived Social Support. Moderate to strong correlations were found between mental well-being and all measures. The frequency of participation in health-promoting activities was a predictor of mental well-being (β = .21, p = .001). Perceived support was the strongest predictor of participation in health-promoting activities (β = .25, p = .005), mental well-being (β = .39, p < .001), and personal well-being (β = .45, p < .001). Perceived stigma predicted psychological distress (β = .32, p < .001) and mental well-being (β = -0.29, p < .001). Perceived support and stigma affected mothers' participation in health-promoting activities and well-being. Therapists can facilitate mothers' engagement in health-promoting activities and develop strategies to address stigma and enhance support. Plain-Language Summary: This research highlights factors that affect the well-being of ethnic Chinese mothers who have children with disabilities and provides cultural insights for occupational therapists who work with Chinese families. The article also encourages pediatric occupational therapists to address the occupational needs and well-being of mothers in parallel with therapy for their children. We discuss occupation-focused strategies, family-centered perspectives, and health promotion approaches in relation to improving the participation and well-being of ethnic Chinese mothers in their cultural context.

Students’ safety culture at tertiary level academic institutes in Bangladesh: A cross-sectional study

This study aims to investigate the safety culture of tertiary-level students in Bangladesh and identify the factors that influence it. A cross-sectional survey was conducted among 1676 students from 16 universities and medical colleges in Bangladesh to gather data. The survey consisted of a paper-based structured questionnaire with three scales: a 17-item safety beliefs and values scale, a 10-item safety perception and awareness scale, and a 14-item safety attitudes scale. The results showed that tertiary-level students generally exhibit moderate levels of safety beliefs and values, safety perception and awareness, and safety attitudes. Female students had better safety perception and awareness [β = -0.083; 95%CI = -0.140, -0.025] and safety attitudes [β = -0.173; 95%CI = -0.230, -0.117], while male students had stronger safety beliefs and values [β = 0.047; 95%CI = 0.005, 0.089]. Students with physical disabilities and those who had experienced accidents had significantly higher levels of safety perception and awareness, as well as safety attitudes, compared to their peers. Additionally, students in private institutions had lower levels of safety perception and awareness [β = -0.130; 95%CI = -0.189, -0.070] as well as safety attitudes [β = -0.058; 95%CI = -0.116, -0.001], than public institution students. Age, gender, and type of institute were significantly associated with all three components of safety culture. Accident experience was also significantly linked to safety perception and awareness [β = 0.054; 95%CI = 0.002, 0.105], and safety attitudes [β = -0.093; 95%CI = -0.143, 0.043]. Based on these findings, it is recommended that tertiary educational institutions in Bangladesh develop intervention strategies that consider the age, gender, and physical disability of students to enhance their safety culture.

Effectiveness of Communicative Language Teaching in Non-Urban Areas’ Primary Schools: The Case of Afif, Saudi Arabia

The main purpose of the study was to investigate the effectiveness of Communicative Language Teaching (CLT) in Teaching English to Speakers of Other Languages (TESOL) at primary schools in Afif city. The responses given by students covered their feelings towards CLT in terms of their English speaking levels, their motivation, their efforts, their grammar and vocabulary learning, their confidence in using English in real life, and their opinion towards other additional ways of learning English such as games and social media. A qualitative approach was used, with a sample of seven female students from two primary schools in the Afif district selected using a concentrated sampling procedure. Two instruments were used: the Students’ Attitude Scale, adapted from Savignon and Wang (2003), and peer observation. The Students’ Attitude Scale was used to evaluate students’ impressions of CLT, while peer observation was used to identify the impact of CLT in teaching English to non-native speakers. Overall, the most significant results of the study indicate that CLT has a positive effect on learners’ English comprehension skills, builds up their confidence to use English in different situations, and gives them more/more satisfaction with the experience. CLT also helps to motivate the students and bring about improvement in their dialogue/ communicative proficiency. Based on these results, the study recommends the continued implementation of CLT in English language teaching, ongoing professional development for teachers, promotion of student engagement, fostering confidence building, integration of technology, and encouragement of peer observation among teachers. These recommendations aim to enhance the effectiveness of CLT in TESOL settings in primary schools in Eastern Saudi Arabia.

Exploring the Shift in Pro‐American Attitudes and Influencing Factors: An Analysis Using a Quasi‐experimental Design of Taiwanese Students

How can pro‐American attitudes be measured? What factors influence shifts in these attitudes? Anchored in institutional identity theory, this study constructs a pro‐American attitude scale and posits three hypotheses concerning Taiwanese consciousness, the evaluation of interdependent benefits, and political learning to elucidate the shift in pro‐American attitudes. Targeting Taiwanese students, this study employs a quasi‐experimental design for data collection and linear regression for hypothesis testing. The findings indicate that from February to June 2023, 37.68% of participants demonstrated a decrease in pro‐American attitudes, 36.24% demonstrated an increase, and 26.09% remained unchanged. Participants in the political learning experimental group displayed a shift in pro‐American attitudes in contrast to the control group. The regression model developed in this study accounted for 25.07% of the variance in the shift in Taiwanese students' pro‐American attitudes, and all hypotheses were empirically supported. An increase in Taiwanese consciousness or frequency of political learning corresponds to a decrease in pro‐American attitudes. Conversely, an elevated evaluation of Taiwan–America interdependent benefits correlates with an increase in pro‐American attitudes. This study demonstrates that political learning can mitigate the enhancing effect of political communication on pro‐American attitudes, thus offering a unique contribution to academic and practical fields.

The Impact of Innovative Technological Practices for Gifted Children's Education on Support Classroom Teachers' Attitudes and Opinions towards Technology Use

The aim of this study is to determine how innovative practices aimed at meeting the educational needs of gifted children, taught during activities, influence the attitudes and opinions of resource room teachers towards the use of technology in education. This study, conducted with 30 teachers working in the Southeastern and Eastern Anatolia Regions, employed a mixed-methods approach and included various activities such as animations, augmented reality, educational games, and STEAM. Data were collected through the attitude scale and diaries towards the use of technology in education. The results indicate that teachers' attitudes towards technology use did not differ by gender and that innovative applications were beneficial for all teachers. However, deficiencies were observed in teachers' ability to adapt to technologies related to coding, engineering, and STEAM. To address these deficiencies and keep technological knowledge and skills up to date, it is recommended to organize regular professional development programs and seminars.

A Critical Evaluation of the Updated Transgender Attitudes and Beliefs Scale

ABSTRACT The article critiques the adaptation of the Transgender Attitudes and Beliefs Scale (TABS). While commending the modernization of language, the critique highlights methodological issues, including limited sample diversity, overemphasis on terminology changes, and a lack of test-retest reliability. Additionally, the study is criticized for inadequate theoretical engagement and insufficient exploration of practical applications, particularly in healthcare. Recommendations for future research include incorporating more diverse samples and deeper theoretical analysis to enhance the scale’s utility.

Attitudes of puerperal women toward health literacy and family planning: A cross-sectional studyAttitudes of puerperal women toward health literacy and family planning: A cross-sectional study

The research was conducted to evaluate the correlation between health literacy and family planning attitude of puerperal women. In this cross-sectional study, was carried out with 258 puerperal women in a public hospital in the Mediterranean region of Turkey. The data were collected using the Mother Introductory Information Form, Postpartum Family Planning Attitude Scale, and Health Literacy Scale. The data were evaluated using Independent Groups t-test, ANOVA and Sperman’s correlation analysis. In the study, the puerperal women who had high level of educational status, worked in an income-generating job, had used contraceptives before pregnancy were found to obtained high average scores from the Family Planning Scale. The health literacy levels of those who were employed, had social security and had cesarean delivery were also high. The research shows that there is a positive correlation between health literacy and family planning attitudes of puerperal women.

The Effect of Using Technology-Assisted Drama Method in Teaching the Central Nervous System Subject on Academic Achievement and Attitude

The aim of this research is to examine the effect of technology-supported drama method applications on students' academic achievements regarding the central nervous system and their attitudes towards biology. In the research, quasi-experimental design with pre-test post-test control group, one of the quantitative research methods, was used. The sample of the research consists of a total of 50 students studying in biology course at a state university, in 2 classes determined by the convenient sampling method. The subjects covered within the scope of the research were taught with the traditional teaching method in the control group and with the technology-supported drama method in the experimental group. As a data collection tool in the research, the "Academic Achievement Test" developed by Akman (2023) and Geban, Ertepınar, Yılmaz, Altın, were used to measure the academic achievements of the students. and the Biology Attitude Scale, developed by Şahbaz (1994) to determine students' attitudes towards chemistry and modified as a biology attitude scale by Pekel (2005), were used. SPSS 22.0 package program was used to analyze the data. As a result of the research, it was determined that the course carried out with the technology-supported drama method generally positively increased the academic success and attitudes of the students.

The effect of problem-based stem activities on students' achievement and attitudes towards engineering

This study aimed to examine the effect of STEM activities prepared according to the problem-based learning approach on students' academic achievement and attitudes toward engineering. A one-group pretest-posttest experimental model, one of the quantitative research methods, was used in the study. In the study, the achievement test was used to reveal students' knowledge levels about the definition of water and the importance of water, the physical, chemical, and biological properties of water, the water cycle, water pollution, and water treatment. Another data collection tool used in the study was the Engineering Attitude Scale. According to the findings obtained from the research, it was concluded that problem-based STEM activities had a positive effect on student's academic achievement but did not make a significant difference in engineering attitudes. The findings of the study were discussed and various suggestions were made for future studies. Keywords: Attitude; engineering design process; problem-based STEM; STEM; water

Efektivitas Layanan Informasi dengan Pendekatan Cooperative Learning Model Jigsaw untuk Membentuk Sikap Anti Cyberbullying Siswa

This research is motivated by the phenomenon where there are still students who send harsh words through conversations on social media, humiliate friends by editing and spreading their personal photos on social media, so it can be said that students don’t have anti-cyberbullying attitudes. As a student, an anti-cyberbullying attitude should be possessed, in order to help create a safe and comfortable learning atmosphere where all students feel valued and protected. Therefore, information services with jigsaw-type cooperative learning approach are needed to shape students' anti-cyberbullying attitudes. This type of research uses quantitative approach with a pre-experimental method of one group pretest and posttest design. The subjects of this study amounted to 30 students of class XI SMAN 1 Lubuk Basung. Subjects selection using purposive sampling technique. The data collection technique used an anti-cyberbullying attitude scale, the data were analyzed using the Wilcoxon signed rank test. The results showed that information services with a jigsaw-type cooperative learning approach were effective for forming anti-cyberbullying attitudes in students, where after being given the treatment, students' anti-cyberbullying attitudes increased significantly. This can be seen from the results of hypothesis testing, the Asymp.Sig (2-tailed) result of anti-cyberbullying attitudes in students is 0.000, in other words, the probability is below 0.05 (0.000 ≤ 0.05), meaning that H0 is rejected and Ha is accepted. Based on these results, it is concluded that information services with a jigsaw-type cooperative learning approach are effective for forming anti-cyberbullying attitudes in students.

Inclusive attitudes: typically developing students and students with disabilities in UAE classrooms

IntroductionResearch on students’ attitudes toward inclusive education in the UAE is limited, with a focus on qualitative investigations of parents and teachers.MethodsThis study addresses this gap by developing the Students’ Attitude Scale to measure attitudes toward inclusive education. We examined the impact of age, grade level, nationality, educational placement, and gender on inclusive education using a sample of 355 students from diverse UAE districts.ResultsFindings reveal that female students scored significantly higher than males on the scale. While Emirati nationals showed higher scores, the difference was not statistically significant. Notably, students in the “All Day in Regular Classroom with the Necessary Support” placement had higher scores. Grade level and UAE district did not significantly influence attitudes.DiscussionOur study emphasizes the positive influence of gender and increased interaction with students with disabilities on fostering favorable attitudes toward inclusive education. These insights can inform efforts to enhance inclusive practices in the UAE.

Effect of plastic-free diet, education and Bisphenol A exposure feedback on urine BPA in adolescent

Abstract Background BPA is an endocrine disrupting chemical and is mostly taken orally. Adolescence is the critical sensitivity to these chemicals is maximum. This study was conducted to compare the effects of a plastic-free diet program, plastic-free diet education program and BPA exposure feedback on urine BPA levels in adolescents with high use of packaged products. Methods The first phase of the two-phase study is descriptive, the second phase is a single-centre, single-blind, three-arm non-randomized experimental design. The study was conducted at Antalya/Türkiye in the 2022-2023 academic year, and in the first stage, adolescents with high use of plastic packaged products and low attitudes towards healthy nutrition were identified. In the second stage, participants were assigned to the group-1 (n = 36), group-2 (n = 36) and group-3 (n = 36) by simple random sampling method. An eight-week plastic-free diet program was applied to the group 1, plastic-free diet education program and BPA exposure feedback was given to the group-2, and only BPA exposure feedback was given to the group-3. Plastic Packaged Product Usage Survey, Attitude Scale towards Healthy Nutrition, and spot urine samples were used to collect data. Results It was found that 2% of adolescents used low plastic packaging, 34% medium, 57% high, and 7% very high. Pre-posttest urine BPA levels ng/ml (µg/g creatinine) were 1.98 (2.54), 1.43 (1.51) in the intervention1 group, respectively; 1.91 (2.35), 1.43 (1.47) in the intervention2 group; It was found to be 1.97 (2.49) and 1.49 (1.66) in the intervention3 group. The effect sizes of pre-posttest BPA/creatinine values were calculated as 1.38, 1.13 and 1.09 in intervention1-2-3 groups, respectively. Conclusions All three interventions (plastic-free diet program, plastic-free diet education program and BPA exposure feedback) were effective in reducing urinary BPA levels, reducing plastic-packaged product use levels, and increasing attitudes towards healthy eating. Key messages • Since all three interventions are effective in reducing adolescents’ urinary BPA levels, it may be recommended to use the intervention appropriate to the field conditions. • In the post-tests, the use of plastic packaged products by adolescents in all three groups decreased and their attitudes towards healthy nutrition increased.