Similar to the working alliance, the perceived quality of the real relationship was related to using more methods to prepare the patients to the transition (r = .18, p < .05) and perceived positive patient experience (r = .24, p < .01). Age, years of clinical experience, number of patients seen weekly before the pandemic, previous video therapy experience, and views of video therapy before the pandemic were not associated with the perceived quality of alliance or the real relationship in online sessions.
Top-notch care about-question and you may anxiety
On average, therapists experienced professional self-doubt sometimes or frequently (M = 2.41, SD = .67, range: 1.11–4.78) in video therapy during the pandemic, which is higher than the level of self-doubt experienced by therapists in a prior naturalistic study of PSD (Nissen-Lie et al., 2013 ; t(136) = , p < .0001), but still on the lower end of the 5-point Likert scale. Therapists felt less competent (M = 2.28, SD = .52, range: 1.00–3.00) and less confident (M = 2.15, SD = .56, range: 1.00–3.00) about their professional skills during online compared to in-person sessions. Higher levels of reported professional self-doubt were related to several demographic variables, such as younger age (r = ?.34, p < .001), less clinical experience (r = ?.33, p < .001), and worse perceived patient experience (r = ?.36, p < .001).
Therapists’ anxiety about using video therapy was moderate (M = 2.87, S.D. = .86, range: 1.00–4.83). Similar to professional self-doubt, higher anxiety was associated with female gender (t(137) = 3.24, p < .05), younger age (r = ?.30, p < .001), less clinical experience (r = ?.36, p < .001), smaller number of patients before the pandemic (r = ?.18, p < .05), no previous experience with video therapy (t(138) = 3.63, p < .001), not being licensed yet (t(136) = 3.28, p < .001), perceiving patients as having a negative video therapy experience (r = .27, p < .001).
Overall in our sample, therapists reported somewhat positive attitudes towards video therapy (M = 3.42, SD = 0.50, range: 2.31–4.69). Although their views about video therapy had become more positive since the start of the pandemic (t(140) = 2.06, p < .05); they still thought that video therapy was somewhat less effective compared to in-person therapy (M = 2.19, SD = 0.65, range: 1.00–4.00).
Therapists who held more positive attitudes towards video therapy tended to have previous experience with video therapy (t(142) = 3.53, p < .05) and to have positive perceptions of their patients' online experience (r = .30, p < .001). Higher rated working alliance and real relationship were associated with more positive attitudes towards video therapy (r = ?.34, p < .001 and r = ?.40, p < .001, respectively) whereas professional self-doubt was associated with more negative attitudes (r = ?.34, p < .001).
The sample of therapists as a whole was undecided as to whether they would like to continue using video therapy in the future (i.e. expressed a neutral response on the UTUAT Behavior Intention subscale), with large differences among therapists (M = 3.14, SD = 1.23, range: 1.00–5.00). Therapists who intended to use video therapy in the future were more likely to have hookup local prior experience with video therapy (t(138) = 2.91, p < .01), and tended to have positive perceptions of their patients' online experience (r = .32, p < .001).
Come across Desk step one to have an overview of the new correlations involving the standard methods. The new relational, top-notch and you may tech-relevant bills was synchronised in the requested recommendations. Especially, ratings on real matchmaking and dealing alliance was undoubtedly correlated, and you may professional care about-doubt and you will stress was in fact definitely associated with each other however, negatively on stated operating alliance and real relationship, indicating you to practitioners that have lower levels out-of professional self-question and anxiety said a stronger functioning alliance and you can genuine relationship making use of their on line patients when you look at the pandemic. Brand new perceptions to your and you will intent to make use of movies treatment in the future have been absolutely associated with evaluations of one’s functioning alliance, and you may real matchmaking, and you will adversely related to elite care about-doubt and anxiety (come across Dining table step 1).
In today’s mix-sectional questionnaire study, we aimed to understand more about therapists’ experiences away from video clips medication switching of inside the-individual video instructions in the pandemic. A whole lot more specifically, we checked-out: 1) Therapist thinking of your therapeutic relationships (functioning alliance and you will real dating) in the movies lessons compared to past in-person cures; 2) Counselor trust when you look at the professional competence (professional notice-doubt) and you may experienced stress linked to getting video clips procedures; 3) Counselor perceptions for the clips therapy tech typically, also intentions to continue using videos treatment regarding the upcoming.
Into the expose sample, the inner feel guess was Cronbach’s ? = .86. To evaluate new knowledgeable improvement in the actual matchmaking because change to clips cures, the next items is actually additional: “Versus within the-individual courses, in my own online sessions the brand new therapeutic matchmaking sensed … ” become replied on the an effective about three-area Likert size (step 1 = alot more authentic compared to-person, dos = the same, step three = reduced genuine than in-person).
Efficiency
Women reported higher working alliance in online sessions compared to men (t(137) = 2.18, p < .05), licensed practitioners reported higher alliance score than trainees (t(136) = 2.33, p < .05), and practitioners in North America (USA and Canada) compared to those in Europe (t(137) = 2.08, p < .05). Within the sample, higher online alliance was also reported by those who used a greater variety of methods (as opposed to fewer methods) to prepare patients for the transition (r = .26, p < .01), and those who perceived their patients' experience with video therapy more positively (as opposed to less positively) (r = .32, p < .001).