Reducing internalized binegativity: Development and efficacy of an online intervention

Tania Israel, Andrew Young Choi, Joshua A. Goodman, Emmie Matsuno, Yen Jui Lin, Krishna G. Kary, Caitlin R.S. Merrill

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Internalized binegativity (IB), negative attitudes and beliefs about one's own bisexuality, can develop from chronic exposure to binegative discrimination and prejudice and is associated with several negative mental health consequences. We developed and tested an online intervention following the Releasing Internalized Stigma for Empowerment (RISE) model (Lin, Israel, & Ryan, 2018) to reduce IB and to offer a novel means to access and treat bisexual people. We analyzed data from 641 bisexual adults recruited from Amazon Mechanical Turk (MTurk) who were randomly assigned to the intervention or active control condition and asked to complete pretest and posttest measures. Four modules tailored for bisexual people, based on a review of relevant literature and expert feedback, comprised the intervention. The modules included: (a) a true/false quiz that challenged negative bisexual stereotypes with research evidence, (b) an activity where participants identified external sources of their binegative beliefs, (c) a biaffirming video and a writing exercise to express support for a bisexual person, and (d), presentation of positive aspects of being bisexual and biaffirming images. We used a posttest-only randomized controlled design with the intervention as the between-subjects factor. A series of one-way analyses of covariance (ANCOVAs), controlling for covariates of identity concealment and self-esteem, revealed that the intervention was efficacious in reducing IB at a small effect size in addition to influencing related constructs. These results offer a promising contribution to accessible and targeted intervention efforts for reducing bispecific minority stressors. Future directions include examining acceptability, feasibility, implementation, and replication issues.

Original languageEnglish (US)
Pages (from-to)149-159
Number of pages11
JournalPsychology of Sexual Orientation and Gender Diversity
Issue number2
StatePublished - Jun 2019
Externally publishedYes


  • Bisexuality
  • Internalized binegativity
  • Minority stress
  • Online intervention
  • Randomized controlled trial

ASJC Scopus subject areas

  • Gender Studies
  • General Psychology


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