Internet-based cognitive restructuring: Effects on adolescent girls' contraceptive beliefs

Twenty-six adolescent females between the ages of 14 and 18 were randomly assigned to one of two Internet-based cognitive restructuring programs. The experimental program focused on changing seven irrational beliefs that interfere with effective contraception use; the control treatment focused on altering irrational career beliefs. Both interventions assessed subjects repeatedly as they progressed through the program, and depending on the tenacity of each belief held, provided a variety of cognitive restructuring responses. The experimental condition was, expected to produce higher acceptance of responsibility for planning sexual activity and using contraception, greater intention to use condoms, improved confidence in the ability to obtain, use and negotiate condom use with their partners, and more comfort in encouraging their peers to practice safe sex. Reasons for the failure to find significant differences are discussed.