Randomized evaluation of an online single-session intervention for minority stress in LGBTQ+ adolescents
Open accessAbstract
LGBTQ+ youth face myriad adverse health outcomes due to minority stress, creating a need for accessible, mechanism-targeted interventions to mitigate these minority stress-related risk factors. We tested the effectiveness and acceptability of Project RISE, an online single-session intervention designed to ameliorate internalized stigma and improve other outcomes among LGBTQ+ youth. We hypothesized that youth assigned to RISE (versus a control) would report significantly reduced internalized stigma and increased identity pride at post-intervention and at two-week follow-up and would find RISE acceptable. We recruited adolescents nationally through Instagram advertisements in May 2022 (N = 538; M age = 15.06, SD age = 0.97). Participants were randomly assigned to RISE or an information-only control and completed questionnaires pre-intervention, immediately post-intervention, and two weeks post-intervention. Inclusion criteria included endorsing: (1) LGBTQ+ identity, (2) age 13–16, (3) English fluency (4) Internet access, and (5) subjective negative impact of LGBTQ+ stigma. Relative to participants in the control condition, participants who completed RISE reported significant decreases in internalized stigma (d = −0.49) and increases in identity pride (d = 0.25) from pre- to immediately post-intervention, along with decreased internalized stigma (d = −0.26) from baseline to two-week follow-up. Participants rated both RISE and the information-only control as highly, equivalently acceptable. RISE appears to be an acceptable and useful online SSI for LGBTQ+ adolescents, with potential to reduce internalized stigma in both the short- and longer-term. Future directions include evaluating effects of Project RISE over longer follow-ups and in conjunction with other mental health supports.
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An exception outside the ACT area provided evidence for the effectiveness of an online single session in reducing internalized stigma and slightly increasing identity pride.
“An exception outside the ACT area [21] provided evidence for the effectiveness of an online single session in reducing internalized stigma and slightly increasing identity pride.”
From An Internet-Based Intervention to Increase the Ability of Lesbian, Gay, and Bisexual People to Cope With Adverse Events: Single-Group Feasibility Study (2024) · cites this paper as [21]
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Influential
- Authors
- Shen, J., Rubin, A., Cohen, K., Hart, E. A., Sung, J., McDanal, R., Roulston, C., Sotomayor, I., Fox, K. R., & Schleider, J. L.
- Affiliations
- Stony Brook University (US)
- University of Denver (US)
- Northwestern University (US)
- Corresponding author
- Schleider, J.L.
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2023-09
- Volume
- 33
- Pages
- 100633
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC10457524
- OpenAlex
- W4379742634
- Cited by
- 35
- References
- 38
- Citations by year
- 2026: 14 · 2025: 9 · 2024: 9 · 2023: 3
- FWCI
- 10.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- PsyArXiv (OSF Preprints) (submittedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, public-domain)
- Funders
- National Science Foundation (2141710)
- National Institute of Mental Health (R43MH128075)
- NIH Office of the Director (DP5OD028123)
- Klingenstein Third Generation Foundation
- Washington University in St. Louis (R25MH080916)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- minority stress, LGBTQ adolescents, self-stigma, identity pride, single-session intervention, online intervention, treatment acceptability, adolescent mental health
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